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Connecticut rates for HCPCS 21215

Graft, bone; mandible (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,511.38 / $15,848.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $3,090.30 / $6,456.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $15,135.61 / $16,595.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $2,041.74 / $6,025.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $3,162.28 / $10,232.93
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $5,754.40 / $8,511.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $10,232.93 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $2,344.23 / $9,549.93