go back

North Carolina 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
$739.11 / $3,395.21 / $13,426.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.11 / $1,742.69 / $2,788.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.19 / $2,029.13 / $5,334.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.48 / $1,182.48 / $6,830.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.14 / $1,816.32 / $4,173.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.89 / $1,742.69 / $3,117.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.00 / $2,832.00 / $2,832.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $2,328.19 / $6,223.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,632.20 / $2,352.01 / $4,726.26
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,297.46 / $5,297.46 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,351.00 / $12,605.52 / $14,669.85