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Minnesota rates for HCPCS 21215

Graft, bone; mandible (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $4,365.16 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $2,818.38 / $5,754.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $12,302.69 / $26,915.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $4,897.79 / $12,882.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $15,488.17 / $37,153.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $5,248.07 / $17,378.01
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $14,791.08 / $29,512.09
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $5,495.41 / $15,488.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $2,951.21 / $10,715.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $8,128.31 / $23,442.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $7,943.28 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $3,548.13 / $11,748.98