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Rhode Island rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,955.04 / $5,496.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.26 / $1,873.49 / $6,034.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.77 / $3,371.01 / $6,252.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.67 / $1,874.96 / $8,411.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,370.78 / $4,829.41 / $7,748.07