go back

Delaware rates for HCPCS 21025

Excision Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,949.00 / $3,949.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.45 / $731.19 / $920.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,200.76 / $3,200.76 / $3,200.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.77 / $920.41 / $1,507.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.86 / $1,005.46 / $1,873.33