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Iowa rates for HCPCS 21215

Graft, bone; mandible (includes obtaining graft)

Facilitymedian $6,607 · 10th–90th $1,259–$12,0230%10%20%10th90th$6,607Professionalmedian $3,715 · 10th–90th $776–$7,7620%10%10th90th$3,715$200.0$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
$1,258.93 / $6,606.93 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $3,388.44 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $4,168.69 / $12,022.64
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $2,754.23 / $6,025.60
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $6,456.54 / $13,182.57
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $6,918.31 / $15,848.93
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $6,165.95 / $10,964.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $7,762.47 / $7,762.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $10,964.78 / $15,488.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $2,818.38 / $9,332.54
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,819.70 / $9,120.11