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Arizona rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,552.99 / $4,521.00 / $9,112.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.29 / $3,089.99 / $5,933.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $4,934.39 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.90 / $3,255.10 / $5,326.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.24 / $2,690.60 / $6,244.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.26 / $3,215.71 / $7,295.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,976.99 / $4,457.38 / $29,962.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,890.28 / $3,870.90 / $7,762.96