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Colorado 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
$2,587.67 / $5,798.00 / $11,529.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.91 / $1,575.73 / $2,359.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.59 / $1,077.40 / $1,728.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,700.67 / $5,700.67 / $17,957.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.69 / $1,872.52 / $3,594.32
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.98 / $1,644.69 / $2,982.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.90 / $1,759.03 / $2,955.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,251.00 / $11,924.00 / $19,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,091.23 / $2,829.83 / $4,439.88