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Colorado rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,597.21 / $5,798.00 / $11,529.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.71 / $2,356.30 / $3,192.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.03 / $947.38 / $1,519.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,296.17 / $5,296.17 / $16,683.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.07 / $2,171.61 / $4,982.52
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.28 / $1,670.00 / $4,340.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.74 / $2,498.98 / $4,368.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,452.00 / $4,970.00 / $11,599.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,065.45 / $4,125.39 / $6,304.79