go back

Minnesota rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.86 / $4,349.35 / $6,976.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.86 / $3,374.21 / $5,933.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,996.28 / $10,745.13 / $20,811.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.36 / $4,726.00 / $13,833.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,389.87 / $14,741.72 / $35,463.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,728.93 / $5,561.32 / $16,698.39
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,450.57 / $13,477.46 / $27,923.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,711.81 / $5,506.26 / $13,996.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.61 / $2,803.21 / $9,793.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,360.31 / $8,301.52 / $17,097.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $7,872.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,545.93 / $8,885.21 / $15,867.93