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Ohio rates for HCPCS 21049

Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally aggressive or destructive lesion[s])

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.99 / $1,151.03 / $2,334.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.26 / $1,151.66 / $1,941.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.31 / $1,197.00 / $1,523.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.43 / $1,577.87 / $2,397.03
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.58 / $1,655.83 / $2,368.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.15 / $777.99 / $1,329.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.00 / $1,462.94 / $2,425.40