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Kentucky rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.84 / $2,096.16 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.66 / $904.09 / $2,930.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,104.00 / $5,280.00 / $12,101.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.13 / $632.22 / $1,027.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.98 / $870.83 / $1,004.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.89 / $877.05 / $3,291.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.21 / $1,144.52 / $1,144.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.04 / $2,335.56 / $4,851.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,866.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $3,061.97 / $6,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,443.41 / $3,378.20 / $5,636.76