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New York 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
$1,144.58 / $1,434.98 / $2,580.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.13 / $1,577.29 / $3,326.06
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,605.64 / $1,605.64 / $1,942.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.43 / $2,034.01 / $4,810.05
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.44 / $2,112.78 / $2,946.74
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.30 / $1,375.95 / $2,817.47
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.18 / $2,062.39 / $4,799.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.26 / $1,744.54 / $4,485.20
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.30 / $1,661.07 / $2,831.36