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Vermont 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
Professional
Modifier
Low / Median / High Price
$1,873.20 / $1,971.45 / $1,971.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.74 / $2,823.43 / $3,631.55
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.47 / $2,371.57 / $3,631.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,049.21 / $2,280.92 / $6,630.80