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Arizona rates for HCPCS 21215

Graft, bone; mandible (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,128.61 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $3,388.44 / $6,456.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,981.07 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $3,548.13 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $2,570.40 / $6,309.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $3,715.35 / $7,244.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $5,011.87 / $30,199.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $6,025.60 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $2,454.71 / $5,495.41