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Ohio 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
$1,068.05 / $1,271.83 / $2,381.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.66 / $1,370.83 / $2,168.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.14 / $1,376.14 / $1,751.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.34 / $1,715.23 / $2,578.46
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.41 / $1,739.92 / $2,578.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.74 / $925.73 / $1,590.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.28 / $1,698.55 / $2,824.88