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Alabama rates for HCPCS 21245

Rcnstj Mndbl/Maxl Subpriosteal Implant Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $1,768.00 / $2,729.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.52 / $1,053.90 / $1,860.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.56 / $6,380.30 / $8,583.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.90 / $1,237.00 / $1,459.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.33 / $1,243.19 / $3,048.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,121.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.99 / $1,154.00 / $2,019.50