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Maryland rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Facilitymedian $646 · 10th–90th $525–$3,4670%10%10th90th$646Professionalmedian $2,239 · 10th–90th $646–$4,1690%10%10th90th$2,239$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $2,344.23 / $4,168.69
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $741.31 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $1,000.00 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $2,187.76 / $5,011.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,162.28 / $5,248.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $645.65 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,862.09 / $5,011.87
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $3,311.31 / $4,365.16