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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
$776.25 / $1,995.26 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $2,290.87 / $3,801.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $5,011.87 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $2,630.27 / $5,623.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,691.53 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $2,187.76 / $5,248.07