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Mississippi rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $1,831.00 / $5,000.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.52 / $2,331.91 / $5,000.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,920.52 / $2,920.52 / $2,920.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,977.00 / $4,977.00 / $4,977.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,384.29 / $3,416.99 / $4,228.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.09 / $2,600.38 / $5,600.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.00 / $2,361.00 / $6,928.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,337.08 / $3,123.64 / $6,222.23