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Florida rates for HCPCS 21245

Rcnstj Mndbl/Maxl Subpriosteal Implant Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.37 / $3,401.00 / $12,444.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.52 / $991.91 / $1,401.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $4,209.29 / $5,011.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.61 / $1,344.10 / $2,164.86
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.69 / $1,008.44 / $1,290.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.59 / $864.66 / $1,486.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.73 / $1,188.35 / $2,206.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.65 / $931.68 / $931.68