go back

Maryland rates for HCPCS 21247

Rcnstj Mndblr Condyle W/Bone Cartlg Autografts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.47 / $1,618.48 / $1,840.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.57 / $1,803.37 / $2,410.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.56 / $2,160.53 / $3,601.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.27 / $2,100.46 / $2,755.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.66 / $1,783.34 / $3,199.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.56 / $1,872.51 / $2,330.71