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Arizona 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
$1,965.00 / $4,521.00 / $9,112.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.90 / $1,574.36 / $4,147.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $4,934.39 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.54 / $1,422.54 / $2,327.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.12 / $1,671.46 / $3,471.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.18 / $1,653.08 / $6,455.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.14 / $2,345.75 / $13,032.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,639.09 / $2,149.46 / $3,740.51