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Indiana rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Facilitymedian $15,136 · 10th–90th $2,754$25,7040%10%10th90th$15,136Professionalmedian $1,622 · 10th–90th $631$3,7150%10%10th90th$1,622$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$977.24 / $4,897.79 / $17,378.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $2,089.30 / $3,890.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $17,378.01 / $26,302.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,000.00 / $1,548.82
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $691.83 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $5,888.44 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,479.11 / $4,466.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,623.41 / $14,125.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $2,041.74 / $4,365.16