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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
$758.58 / $1,862.09 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,659.59 / $2,818.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $11,748.98 / $26,915.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,754.23 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $6,606.93 / $15,848.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $3,467.37 / $7,585.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,309.57 / $12,589.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $3,090.30 / $6,309.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,949.84 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $4,168.69 / $11,220.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $7,943.28 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $2,238.72 / $5,623.41