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Florida rates for HCPCS 21210

Graft Bone Nasal/Maxillary/Malar Areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.51 / $3,895.00 / $12,444.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.64 / $1,565.01 / $2,359.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $3,967.17 / $4,722.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.40 / $1,620.79 / $3,443.34
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.30 / $1,204.50 / $1,952.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.78 / $1,215.67 / $2,165.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.85 / $2,024.54 / $3,602.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.59 / $1,337.64 / $1,337.64