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Ohio rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.11 / $6,517.86 / $11,754.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.72 / $2,817.75 / $5,032.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.00 / $4,437.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.08 / $1,056.95 / $2,028.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.01 / $764.74 / $1,113.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,092.63 / $3,926.78 / $4,997.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.20 / $2,903.17 / $6,425.63
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.47 / $1,349.47 / $1,349.47
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.19 / $3,328.66 / $6,425.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.82 / $2,643.35 / $4,608.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,231.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,813.92 / $4,628.79 / $7,945.71