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Delaware rates for HCPCS 21245

Reconstruction of mandible or maxilla, subperiosteal implant; partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $6,907.00 / $7,265.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.21 / $1,000.00 / $1,186.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,633.18 / $4,633.18 / $4,633.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.60 / $1,064.10 / $1,980.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.13 / $1,171.69 / $2,740.89