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Tennessee rates for HCPCS 21210

Graft Bone Nasal/Maxillary/Malar Areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,505.50 / $3,999.04 / $10,746.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.61 / $1,574.36 / $2,525.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,013.00 / $6,223.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.28 / $1,850.57 / $3,724.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.59 / $1,772.99 / $3,773.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,297.46 / $5,349.66 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,351.00 / $12,605.52 / $14,669.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,631.82 / $2,182.56 / $4,114.71