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Iowa rates for HCPCS 21210

Graft Bone Nasal/Maxillary/Malar Areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $7,090.00 / $11,611.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.17 / $1,650.72 / $3,469.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.31 / $3,066.00 / $4,806.35
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.45 / $2,002.03 / $3,101.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,358.00 / $3,066.00 / $8,572.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,898.31 / $3,812.92 / $12,510.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,889.97 / $3,812.92 / $7,164.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.31 / $3,273.50 / $4,806.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,060.00 / $11,869.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,937.79 / $2,994.74 / $5,615.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.90 / $1,749.30 / $3,955.40