go back

Mississippi rates for HCPCS 21210

Graft Bone Nasal/Maxillary/Malar Areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $1,567.60 / $3,361.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.35 / $1,575.73 / $3,361.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,920.52 / $2,920.52 / $2,920.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,318.00 / $2,318.00 / $2,318.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,677.96 / $4,117.43 / $6,486.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.59 / $1,909.83 / $4,090.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $3,572.00 / $9,515.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $2,226.30 / $4,140.75