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Rhode Island rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Facilitymedian $4,677 · 10th–90th $2,754–$7,5860%10%20%10th90th$4,677Professionalmedian $2,089 · 10th–90th $617–$4,2660%10%10th90th$2,089$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $2,089.30 / $4,073.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,737.80 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,513.56 / $5,888.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,570.88 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $2,041.74 / $5,495.41