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Delaware rates for HCPCS 21188

Rcnstj Mdfc Oth/Thn Lefort Osteot & Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,816.00 / $5,816.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,433.86 / $1,583.88 / $1,583.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.63 / $1,680.11 / $2,939.79
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
$1,362.89 / $1,814.17 / $3,684.91