go back

Alaska rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,311.61 / $11,709.00 / $20,143.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.45 / $3,873.94 / $18,258.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,000.23 / $3,373.93 / $17,932.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.43 / $4,312.62 / $25,562.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,127.27 / $8,237.89 / $21,562.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,190.05 / $5,643.00 / $22,393.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.38 / $5,488.78 / $25,562.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.44 / $5,643.00 / $22,285.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,906.60 / $14,736.45 / $21,490.17