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Washington, DC rates for HCPCS 21215

Graft, bone; mandible (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $7,244.36 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $3,311.31 / $5,248.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $5,495.41 / $11,748.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $2,187.76 / $10,715.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $4,786.30 / $9,772.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $16,218.10 / $33,884.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $2,630.27 / $9,549.93