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Texas rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $3,948.07 / $13,004.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.46 / $3,374.21 / $5,182.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,149.00 / $7,572.03 / $14,745.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.25 / $3,148.60 / $5,574.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $705.35 / $710.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.47 / $1,349.47 / $1,349.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.14 / $3,125.01 / $6,838.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,299.89 / $11,500.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,822.85 / $28,693.84 / $33,725.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.01 / $1,995.00 / $5,933.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.00 / $4,456.01 / $6,916.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.02 / $1,646.66 / $9,067.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.01 / $2,025.00 / $6,033.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.98 / $3,315.10 / $7,549.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,042.40 / $4,107.24 / $6,434.63
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,307.02 / $3,683.01 / $5,263.02