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Indiana rates for HCPCS 21215

Graft, bone; mandible (includes obtaining graft)

Facilitymedian $15,488 · 10th–90th $2,754–$25,7040%10%10th90th$15,488Professionalmedian $1,778 · 10th–90th $741–$5,2480%10%10th90th$1,778$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
$1,174.90 / $4,897.79 / $17,378.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $2,691.53 / $5,370.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $17,378.01 / $26,302.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,096.48 / $1,698.24
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $812.83 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,862.09 / $5,754.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $9,549.93 / $18,197.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $2,041.74 / $5,888.44