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Alaska rates for HCPCS 21210

Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $11,709.00 / $20,143.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.50 / $3,773.64 / $8,147.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,925.96 / $3,251.60 / $7,692.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.62 / $3,773.64 / $11,407.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,004.31 / $4,240.12 / $9,430.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,069.90 / $5,040.00 / $12,441.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$984.39 / $4,151.00 / $11,407.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,004.31 / $4,793.10 / $12,551.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,849.96 / $8,487.43 / $10,669.91