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Removal Of A Noncancerous Growth From Upper Jaw

Washington 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 $1,820 · 10th–90th $1,122$3,3110%5%10%10th90th$1,820$50.0$200.0$1.0K$5.0K$20.0K

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
$1,148.15
Median
$1,698.24
Typical High
$3,311.31
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,290.87
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,949.84
Typical High
$3,467.37
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,238.72
Typical High
$5,248.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$75.86
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,290.87
Typical High
$3,090.30
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,290.87
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,819.70
Typical High
$3,235.94
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,174.90
Typical High
$2,089.30