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Rhode Island 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
$2,993.72 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.74 / $2,004.41 / $2,293.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.80 / $1,883.46 / $3,059.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,961.94 / $2,573.71 / $3,293.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.58 / $2,283.26 / $3,523.07