Code: 21048

Description:
Remove maxilla cyst complex
Other Descriptions:
EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT
Related codes:
Code: 21040
Code: 21041
REMOVAL OF JAW BONE LESION
Code: 21044
EXCISION MALIGNANT TUMOR MANDIBLE
Code: 21045
Extensive jaw surgery
Code: 21046
Remove mandible cyst complex
Code: 21047
Excise lwr jaw cyst w/repair
Code: 21049
Excis uppr jaw cyst w/repair
Wisconsin
Hospital Address Code Price Last Updated
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand 21048 $3,277 [source] 3 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton 21048 $3,389 [source] 3 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff 21048 $4,003 [source] 3 years ago
River Falls Area Hospital , River Falls 21048 $6,881 [source] 3 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee 21048 $7,117 [source] 3 years ago
Ascension Sacred Heart Rehabilitation Hospital 2323 N Lake Dr, Milwaukee 21048 $8,849 [source] 3 years ago
Ascension St Francis Hospital 3237 S 16Th St, Milwaukee 21048 $9,489 [source] 3 years ago
Ascension Se Wisconsin Hospital-St Joseph Campus 5000 W Chambers St, Milwaukee 21048 $9,489 [source] 3 years ago
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin 21048 $9,489 [source] 3 years ago
Ascension All Saints Hospital 1320 Wisconsin Ave, Racine 21048 $9,489 [source] 3 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.