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Alaska rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Facilitymedian $3,311 · 10th–90th $741–$12,0230%5%10%10th90th$3,311Professionalmedian $2,692 · 10th–90th $692–$9,3330%5%10th90th$2,692$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $12,022.64 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $2,454.71 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $2,344.23 / $8,511.38
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,511.89 / $9,772.37
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $3,548.13 / $11,481.54
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $10,232.93 / $15,135.61
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $2,511.89 / $9,772.37
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $1,698.24 / $6,456.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $3,715.35 / $13,489.63