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Florida rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.60 / $3,401.00 / $12,444.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.33 / $2,096.16 / $3,320.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $3,685.68 / $4,387.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.46 / $2,025.76 / $4,878.12
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.81 / $1,739.95 / $2,851.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.83 / $1,741.79 / $3,099.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,954.00 / $5,889.00 / $9,772.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.30 / $2,914.16 / $5,218.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.10 / $571.35 / $571.35