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Missouri rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $5,128.61 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $2,290.87 / $4,570.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $870.96 / $1,318.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $2,511.89 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,905.46 / $5,128.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,398.83 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $4,073.80 / $19,054.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,818.38 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $2,187.76 / $4,265.80