go back

North Carolina rates for HCPCS 21249

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.46 / $1,310.08 / $2,435.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.59 / $2,078.88 / $3,575.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.76 / $1,866.91 / $3,461.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.00 / $1,895.00 / $1,895.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,748.60 / $4,009.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.06 / $1,677.30 / $3,409.17
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,126.00 / $13,311.20 / $13,311.20