go back

Oklahoma rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Facilitymedian $6,457 · 10th–90th $1,380–$13,8040%10%10th90th$6,457Professionalmedian $2,344 · 10th–90th $631–$4,1690%10%10th90th$2,344$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
$1,288.25 / $3,019.95 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $2,089.30 / $4,168.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $9,772.37 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $1,548.82 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,754.23 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,235.94 / $19,054.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $3,235.94 / $6,918.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,905.46 / $3,388.44