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Rhode Island rates for HCPCS 21210

Graft Bone Nasal/Maxillary/Malar Areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,955.04 / $5,496.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.18 / $1,574.36 / $3,469.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.67 / $1,540.53 / $2,809.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.85 / $1,801.85 / $3,928.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.10 / $2,836.73 / $4,405.45