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California rates for HCPCS 21249

Rcnstj Mandible/Maxl Endosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.75 / $1,334.84 / $6,175.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.72 / $1,864.72 / $3,444.77
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.40 / $1,535.81 / $3,360.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.58 / $1,692.81 / $3,284.84
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.40 / $1,533.58 / $2,154.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.29 / $1,571.32 / $2,688.89
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,126.00 / $13,311.20 / $13,311.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.50 / $1,787.41 / $3,365.79
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,831.94 / $3,831.94 / $4,640.99
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.16 / $1,432.45 / $1,824.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.28 / $1,486.30 / $3,158.97