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Connecticut rates for HCPCS 21215

Graft, bone; mandible (includes obtaining graft)

Facilitymedian $8,511 · 10th–90th $4,571–$16,2180%10%10th90th$8,511Professionalmedian $2,692 · 10th–90th $741–$7,4130%5%10%10th90th$2,692$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $8,511.38 / $15,848.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $3,090.30 / $6,760.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $15,135.61 / $16,595.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $2,089.30 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $3,162.28 / $10,232.93
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $5,754.40 / $8,317.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $10,232.93 / $16,218.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $3,019.95 / $9,549.93