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Alabama rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $1,768.00 / $2,729.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.90 / $2,701.11 / $6,473.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.56 / $6,380.30 / $8,583.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.39 / $2,882.18 / $4,658.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.10 / $2,997.23 / $6,625.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,121.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,963.32 / $3,682.98 / $6,201.42