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Mississippi rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $1,831.00 / $5,650.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.95 / $2,701.11 / $7,767.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,920.52 / $2,920.52 / $2,920.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,043.00 / $5,043.00 / $5,043.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,563.06 / $3,988.81 / $6,486.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.49 / $3,513.79 / $7,217.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $3,572.00 / $9,515.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,073.99 / $3,991.40 / $9,249.18