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Tennessee rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Facilitymedian $3,981 · 10th–90th $1,820–$9,5500%10%10th90th$3,981Professionalmedian $2,291 · 10th–90th $646–$4,5710%5%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
$1,445.44 / $3,548.13 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $2,290.87 / $4,168.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $6,606.93 / $9,772.37
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $2,290.87 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,862.09 / $4,897.79
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $33,884.42
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,197.01 / $21,379.62 / $21,379.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,548.13 / $6,025.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,905.46 / $5,011.87