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Removal Of A Noncancerous Growth From Upper Jaw

Virginia rates for HCPCS 21049

Surgery to remove a noncancerous growth or cyst from the upper jaw bone. Because of the size or position of the growth, the surgeon cuts through and removes a section of the jaw bone along with it rather than simply scooping it out.

Rates data updated July 2026.

Professionalmedian $1,349 · 10th–90th $1,096$3,0200%10%20%10th90th$1,349$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,258.93
Typical High
$3,467.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,621.81
Typical High
$2,818.38
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,445.44
Typical High
$8,317.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,513.56
Typical High
$2,454.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,230.27
Typical High
$1,479.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,041.74
Typical High
$2,818.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,584.89
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,479.11
Typical High
$2,454.71