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Vermont rates for HCPCS 21210

Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,949.84 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,819.70 / $3,981.07
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,951.21 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $2,089.30 / $4,168.69