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Iowa 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
$4,146.00 / $5,091.00 / $7,120.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.23 / $2,293.44 / $2,530.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.00 / $3,650.93 / $4,507.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.25 / $2,456.55 / $4,778.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,289.29 / $3,723.40 / $7,454.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,700.61 / $3,184.78 / $12,979.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,945.80 / $3,723.40 / $4,857.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,348.55 / $3,455.57 / $4,857.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,060.00 / $11,869.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.31 / $2,473.62 / $4,638.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.13 / $3,047.00 / $3,584.70