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Hawaii rates for HCPCS 21215

Graft, bone; mandible (includes obtaining graft)

Facilitymedian $8,511 · 10th–90th $2,818–$8,5110%50%10th$8,511Professionalmedian $3,981 · 10th–90th $794–$10,0000%10%10th90th$3,981$50.0$200.0$1.0K$5.0K

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
$2,818.38 / $8,511.38 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $3,311.31 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $5,370.32 / $6,606.93
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,737.80 / $7,244.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $4,897.79 / $6,025.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $3,388.44 / $5,495.41
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $5,623.41 / $11,220.18