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Alaska rates for HCPCS 21245

Reconstruction of mandible or maxilla, subperiosteal implant; partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $12,022.64 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,380.38 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,090.30 / $5,370.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,905.46 / $6,606.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,467.37 / $6,165.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $4,897.79 / $6,606.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,698.24 / $6,456.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,659.59 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $4,677.35 / $6,918.31