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Alabama rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.69 / $1,768.00 / $2,729.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.04 / $2,202.75 / $4,161.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,537.39 / $11,574.08 / $15,570.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.75 / $1,986.68 / $3,211.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.07 / $2,307.08 / $5,053.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $3,088.00 / $5,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,131.08 / $2,632.53 / $4,378.93