go back

Massachusetts rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,663.12 / $3,111.85 / $7,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.04 / $2,385.57 / $4,167.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.33 / $3,997.00 / $11,217.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.37 / $4,242.21 / $18,277.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.63 / $1,021.10 / $2,026.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.73 / $2,656.16 / $7,218.05
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.89 / $1,448.92 / $7,315.92
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,972.33 / $3,626.38 / $5,078.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.80 / $2,652.28 / $6,936.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $4,525.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,898.98 / $5,862.82 / $18,277.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.00 / $4,249.00 / $9,821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,449.84 / $4,349.35 / $8,249.45