go back

Iowa rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $7,090.00 / $11,611.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.06 / $3,786.75 / $6,496.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,753.27 / $4,861.00 / $11,074.34
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.04 / $3,190.50 / $6,433.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,409.53 / $6,186.65 / $11,282.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,552.40 / $7,222.61 / $19,837.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,932.00 / $6,219.93 / $9,917.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,753.27 / $6,068.91 / $10,998.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,060.00 / $11,869.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,823.04 / $6,179.78 / $12,231.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.00 / $1,818.80 / $9,044.10