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Delaware rates for HCPCS 21138

Rdctj Fhd Cntrg & Prosthetic Matrl/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,736.00 / $4,736.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.40 / $913.18 / $913.18
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
$805.09 / $940.89 / $1,654.91
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
$777.78 / $980.46 / $2,102.92