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Hawaii rates for HCPCS 21210

Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)

Facilitymedian $8,511 · 10th–90th $2,818–$8,5110%50%10th$8,511Professionalmedian $2,089 · 10th–90th $776–$9,5500%5%10th90th$2,089$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $8,511.38 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,659.59 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $2,344.23 / $3,019.95
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,659.59 / $5,888.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $2,089.30 / $2,570.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,862.09 / $2,344.23
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $5,370.32 / $11,220.18