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Kansas 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
$2,120.90 / $7,655.00 / $14,345.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.49 / $1,483.87 / $2,807.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.00 / $4,623.79 / $4,867.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.37 / $1,136.90 / $2,888.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $985.00 / $985.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.11 / $1,887.94 / $3,457.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.29 / $2,120.90 / $6,427.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,853.53 / $2,584.35 / $13,032.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,853.53 / $2,314.10 / $3,354.12