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Alabama rates for HCPCS 21210

Graft Bone Nasal/Maxillary/Malar Areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $1,768.00 / $2,729.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.90 / $1,567.60 / $2,788.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,931.14 / $7,197.72 / $9,683.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.83 / $1,649.80 / $2,666.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.06 / $1,669.83 / $4,699.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,121.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.85 / $1,853.56 / $3,151.05