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Kansas rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,774.00 / $7,365.00 / $14,345.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.36 / $2,202.75 / $4,159.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.86 / $990.42 / $3,755.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $985.00 / $985.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.01 / $2,582.79 / $5,126.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.52 / $2,620.58 / $7,694.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,847.78 / $3,686.58 / $19,122.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.00 / $3,096.00 / $5,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,847.78 / $3,341.29 / $4,721.00