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North Carolina rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $4,897.79 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $2,290.87 / $4,786.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $2,570.40 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $2,398.83 / $5,623.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $6,606.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,949.84 / $4,570.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $5,011.87 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,918.31 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $2,041.74 / $4,570.88
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $20,892.96 / $33,884.42
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,197.01 / $18,197.01 / $21,379.62