go back

North Carolina rates for HCPCS 21245

Reconstruction of mandible or maxilla, subperiosteal implant; partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.26 / $1,388.80 / $12,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.26 / $1,149.40 / $1,874.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.91 / $1,638.14 / $2,744.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.48 / $1,182.48 / $7,247.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.58 / $1,485.54 / $2,660.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.26 / $1,348.38 / $2,119.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.00 / $1,374.00 / $1,565.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,597.70 / $3,075.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.38 / $1,435.55 / $2,919.47
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,673.52 / $8,673.52 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,814.00 / $11,980.42 / $11,980.42