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Michigan rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Facilitymedian $4,898 · 10th–90th $3,236–$6,9180%20%10th90th$4,898Professionalmedian $1,862 · 10th–90th $646–$3,8900%10%10th90th$1,862$200.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,897.79 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $2,290.87 / $3,890.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,023.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,513.56 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $2,089.30 / $4,265.80
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $6,918.31 / $8,709.64
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $3,019.95 / $4,897.79
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,949.84 / $4,265.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $5,248.07 / $14,791.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,737.80 / $3,890.45