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Delaware rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $6,907.00 / $7,265.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.12 / $1,000.00 / $4,315.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,230.27 / $4,230.27 / $4,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.10 / $1,669.97 / $7,183.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,397.98 / $3,668.31 / $9,334.77