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Rhode Island 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
$1,069.65 / $1,470.48 / $1,802.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.40 / $1,374.95 / $2,353.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.24 / $2,013.06 / $2,482.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.32 / $1,720.73 / $2,650.33