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Florida rates for HCPCS 21246

Reconstruction of mandible or maxilla, subperiosteal implant; complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.69 / $4,790.00 / $13,066.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.44 / $833.04 / $1,114.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,907.91 / $3,461.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.53 / $1,073.15 / $1,706.93
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
$378.60 / $778.89 / $996.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.48 / $624.10 / $1,043.14
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
$620.97 / $889.07 / $1,596.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.12 / $653.12 / $810.98