go back

Oklahoma 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
$1,094.72 / $1,286.91 / $1,286.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.30 / $1,452.29 / $1,594.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.76 / $1,602.45 / $2,033.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.16 / $1,373.62 / $9,976.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.56 / $1,292.14 / $1,782.87