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Rhode Island rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,955.04 / $5,496.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.04 / $1,657.38 / $4,887.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.83 / $2,141.19 / $4,146.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.47 / $1,523.34 / $5,778.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,080.00 / $3,912.00 / $7,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,053.44 / $4,068.50 / $6,327.40