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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
$1,202.26 / $5,128.61 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $2,089.30 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,715.35 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,949.84 / $4,897.79
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $12,022.64 / $22,908.68
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,862.09 / $2,884.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $524.81 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $5,754.40 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,862.09 / $3,981.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $575.44 / $2,630.27