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Maryland 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
$773.01 / $938.67 / $1,146.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.51 / $984.79 / $1,102.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.33 / $1,231.39 / $2,370.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.49 / $1,317.72 / $1,742.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.10 / $1,187.95 / $2,168.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.26 / $1,174.71 / $1,459.49