go back

North Carolina rates for HCPCS 21246

Rcnstj Mndbl/Maxl Subpriosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.27 / $1,615.00 / $15,291.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.27 / $874.82 / $1,681.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.67 / $1,367.46 / $2,258.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.48 / $1,182.48 / $5,006.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.70 / $1,231.20 / $2,165.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.27 / $1,115.00 / $1,839.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.73 / $1,106.00 / $1,207.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,102.50 / $2,217.40
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
$725.52 / $1,024.29 / $2,296.56
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,254.80 / $16,547.20 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,243.52 / $13,243.52 / $13,243.52