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Missouri rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Facilitymedian $4,571 · 10th–90th $1,778–$8,5110%5%10%10th90th$4,571Professionalmedian $1,905 · 10th–90th $631–$4,3650%5%10%10th90th$1,905$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$2,187.76 / $5,128.61 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $2,290.87 / $4,365.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $4,570.88 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $870.96 / $1,288.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $2,511.89 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,905.46 / $5,128.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $2,570.40 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,265.80 / $19,054.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,818.38 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $2,187.76 / $4,168.69