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Virginia 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
$1,130.08 / $1,395.80 / $1,755.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.47 / $1,302.40 / $2,153.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.06 / $1,458.27 / $9,951.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.03 / $1,693.68 / $2,869.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.84 / $1,642.05 / $1,915.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,832.57 / $2,131.00 / $2,600.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.95 / $1,834.48 / $6,091.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.27 / $1,733.71 / $2,674.75