go back

Wyoming rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.04 / $1,020.38 / $5,933.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,006.39 / $5,006.39 / $5,006.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.00 / $2,283.00 / $11,744.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.34 / $3,337.11 / $9,286.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,457.04 / $8,170.29 / $12,699.93