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Kentucky rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.40 / $2,747.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.99 / $1,276.54 / $4,131.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,104.00 / $5,280.00 / $12,101.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.19 / $749.11 / $1,283.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.89 / $1,026.77 / $1,184.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.75 / $1,034.10 / $5,157.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.51 / $1,349.47 / $1,349.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.20 / $2,903.17 / $6,576.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $392.23 / $3,793.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,660.57 / $4,341.53 / $7,278.21