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Delaware 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
$1,949.84 / $4,677.35 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,659.59 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,412.54 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,479.11 / $2,818.38