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New York 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
$776.25 / $1,071.52 / $2,511.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,122.02 / $2,754.23
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,445.44 / $3,630.78
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,659.59 / $2,290.87
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,288.25 / $2,089.30
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $1,348.96 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,096.48 / $2,754.23
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,258.93 / $2,630.27