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California rates for HCPCS 21208

Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,621.81 / $4,786.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,737.80 / $4,168.69
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,584.89 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,584.89 / $3,388.44
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $933.25 / $2,951.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,584.89 / $3,090.30
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $13,489.63 / $13,489.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $2,238.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,698.24 / $3,630.78
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $5,754.40
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,023.29 / $1,862.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,380.38 / $2,754.23