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Vermont rates for HCPCS 21215

Graft, bone; mandible (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $2,398.83 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $3,981.07 / $7,244.36
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $5,888.44 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $3,388.44 / $9,549.93