go back

Georgia rates for HCPCS 21247

Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,179.88 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.47 / $1,711.63 / $3,593.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.38 / $5,842.74 / $17,934.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.99 / $2,238.78 / $4,011.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.01 / $3,252.33 / $4,424.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $1,772.98 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,689.88 / $2,586.31 / $4,028.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.39 / $2,463.00 / $4,342.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.96 / $2,226.50 / $3,744.79