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Washington rates for HCPCS 21215

Graft, bone; mandible (includes obtaining graft)

Facilitymedian $5,888 · 10th–90th $1,230$19,0550%10%10th90th$5,888Professionalmedian $3,162 · 10th–90th $794$8,7100%10%10th90th$3,162$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $9,332.54 / $21,877.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $3,090.30 / $7,943.28
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $15,488.17 / $31,622.78
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $2,511.89 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,479.11 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $2,630.27 / $11,220.18
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $4,073.80 / $10,471.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $3,548.13 / $9,772.37
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $416.87
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $7,943.28 / $8,128.31
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,754.40 / $5,754.40
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $5,495.41 / $10,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $16,218.10 / $31,622.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $2,511.89 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $17,378.01 / $33,884.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $3,019.95 / $9,120.11
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,513.56 / $6,025.60