go back

Iowa rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $7,090.00 / $11,611.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.80 / $2,452.42 / $4,189.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.70 / $5,139.00 / $7,505.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.45 / $3,305.91 / $4,729.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,161.34 / $4,217.00 / $8,604.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,081.12 / $5,544.36 / $19,122.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,665.47 / $5,544.36 / $7,301.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.53 / $4,840.75 / $7,593.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,711.00 / $5,854.53 / $8,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,801.59 / $4,047.30 / $7,951.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.20 / $1,537.90 / $5,751.60