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California rates for HCPCS 21248

Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.79 / $957.63 / $4,379.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.69 / $1,302.45 / $2,376.73
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.87 / $1,057.06 / $2,361.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.86 / $1,203.18 / $2,427.78
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.75 / $1,025.10 / $1,603.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.69 / $1,147.68 / $1,915.69
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,173.00 / $10,316.10 / $10,316.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.43 / $1,297.75 / $2,488.92
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,717.60 / $2,717.60 / $3,401.62
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.25 / $1,035.20 / $1,319.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.42 / $1,077.95 / $2,335.90