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Minnesota rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.77 / $2,776.42 / $7,397.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.77 / $2,597.21 / $4,167.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,420.80 / $10,188.53 / $20,811.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.87 / $3,717.86 / $8,815.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,597.42 / $9,360.79 / $22,518.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.26 / $3,480.66 / $10,742.02
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,365.99 / $8,542.33 / $17,731.21
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.82 / $3,796.47 / $8,981.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.68 / $2,055.94 / $6,855.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,006.87 / $6,072.12 / $11,768.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,412.00 / $3,756.00 / $8,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,831.71 / $5,724.73 / $10,655.41