go back

Hawaii rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Facilitymedian $8,511 · 10th–90th $2,570–$8,5110%50%10th$8,511Professionalmedian $2,818 · 10th–90th $676–$9,7720%5%10%10th90th$2,818$50.0$200.0$1.0K$5.0K

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
$2,818.38 / $8,511.38 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $2,290.87 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $3,467.37 / $4,265.80
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,348.96 / $4,365.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $3,019.95 / $3,715.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $2,818.38 / $3,467.37
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $5,370.32 / $11,220.18