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Vermont rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.12 / $1,089.48 / $5,014.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.56 / $4,207.22 / $9,467.68
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.54 / $5,178.60 / $9,467.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,782.71 / $5,946.50 / $17,286.90