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Rhode Island 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
$1,085.75 / $1,643.21 / $2,285.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.63 / $1,364.28 / $2,942.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.57 / $2,138.42 / $2,749.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.43 / $1,989.04 / $3,091.27