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New Mexico rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Facilitymedian $3,802 · 10th–90th $871–$8,9130%10%20%10th90th$3,802Professionalmedian $2,291 · 10th–90th $631–$4,1690%10%10th90th$2,291$50.0$200.0$1.0K$5.0K$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
$933.25 / $3,801.89 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $2,290.87 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $2,290.87 / $5,011.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $2,089.30
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,412.54 / $4,897.79
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $2,290.87 / $5,128.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $6,918.31 / $25,703.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $2,398.83 / $5,248.07