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Minnesota 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
$767.19 / $1,851.27 / $6,976.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.19 / $1,770.97 / $2,982.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,834.38 / $10,745.13 / $20,811.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.26 / $2,940.86 / $5,989.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,446.55 / $6,309.01 / $15,177.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,662.80 / $3,307.41 / $7,328.60
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,616.59 / $5,757.38 / $11,950.53
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,646.33 / $3,071.57 / $6,127.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.06 / $1,943.59 / $4,915.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,100.96 / $4,242.74 / $8,180.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $7,872.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,978.59 / $4,064.73 / $7,641.20