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Washington, DC 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
$1,017.00 / $4,833.00 / $9,719.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.17 / $870.01 / $1,907.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.14 / $899.40 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.87 / $2,062.86 / $5,198.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,725.42 / $4,137.01 / $4,137.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,706.31 / $3,223.04 / $5,287.55