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Kentucky rates for HCPCS 21246

Reconstruction of mandible or maxilla, subperiosteal implant; complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.76 / $1,243.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.76 / $812.72 / $1,034.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,104.00 / $5,280.00 / $12,101.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.58 / $840.52 / $1,263.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.92 / $1,090.01 / $1,257.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.88 / $1,090.01 / $1,557.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.80 / $953.80 / $1,018.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.56 / $1,131.24 / $1,771.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,012.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.90 / $1,105.85 / $1,652.57