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North Carolina rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Facilitymedian $3,020 · 10th–90th $776–$11,7490%5%10th90th$3,020Professionalmedian $2,455 · 10th–90th $646–$5,3700%10%10th90th$2,455$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
$1,148.15 / $4,897.79 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $2,344.23 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $2,570.40 / $7,943.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $2,398.83 / $5,495.41
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $6,606.93
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,995.26 / $4,677.35
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $5,011.87 / $6,760.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $6,918.31 / $10,715.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $2,041.74 / $4,570.88
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $33,884.42
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,197.01 / $18,197.01 / $21,379.62