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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
$1,258.93 / $1,862.09 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,819.70 / $4,168.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $11,748.98 / $15,848.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,905.46 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $2,137.96 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $3,019.95 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,949.84 / $4,073.80