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Tennessee rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,562.30 / $4,341.45 / $10,746.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.77 / $3,255.13 / $5,329.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,013.00 / $6,480.00 / $9,419.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.26 / $3,355.70 / $7,248.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.49 / $2,560.62 / $6,797.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,299.89 / $7,299.89 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,822.85 / $28,693.84 / $33,725.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,246.52 / $4,404.27 / $8,453.76