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Arizona rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Facilitymedian $4,677 · 10th–90th $1,738–$9,3330%5%10%10th90th$4,677Professionalmedian $2,399 · 10th–90th $646–$4,4670%10%10th90th$2,399$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$2,089.30 / $5,128.61 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $2,344.23 / $4,365.16
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $5,495.41 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $3,019.95 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $2,041.74 / $4,677.35
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $2,454.71 / $4,677.35
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,715.35 / $19,054.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,467.37 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $2,041.74 / $4,168.69