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Nationwide rates for HCPCS 21255

Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $4,897.79 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,412.54 / $3,019.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $9,772.37 / $17,782.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,698.24 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $3,715.35 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,995.26 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $7,079.46 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,584.89 / $2,951.21