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New York rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Facilitymedian $5,623 · 10th–90th $1,259$12,8820%5%10th90th$5,623Professionalmedian $2,692 · 10th–90th $676$6,0260%5%10%10th90th$2,692$100.0$500.0$2.0K$10.0K$50.0K

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
$1,047.13 / $5,128.61 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $2,398.83 / $4,570.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,762.47 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,951.21 / $7,244.36
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $3,467.37 / $13,489.63
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $3,981.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $3,090.30 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $2,951.21 / $9,332.54
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $1,047.13 / $2,290.87
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,265.80 / $5,888.44
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $2,344.23
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,311.31 / $5,370.32
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $3,715.35 / $6,918.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,981.07 / $9,772.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $2,818.38 / $8,128.31
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $794.33 / $3,019.95
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,754.23 / $5,248.07