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Texas 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
$975.00 / $3,730.00 / $13,004.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.34 / $1,560.71 / $2,596.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,208.63 / $7,615.33 / $14,939.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.09 / $1,431.60 / $2,542.71
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $678.77 / $683.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,297.44 / $1,297.44 / $1,297.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.46 / $1,796.28 / $3,511.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,297.46 / $11,500.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,351.00 / $12,605.52 / $14,669.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.31 / $1,607.25 / $3,025.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.31 / $1,948.82 / $3,050.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.80 / $1,584.56 / $3,938.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.31 / $1,630.52 / $3,051.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.44 / $1,810.44 / $3,701.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,631.82 / $2,195.21 / $3,445.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,446.32 / $1,621.82 / $2,299.28