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Tennessee rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,548.13 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $2,187.76 / $4,168.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $6,606.93 / $9,772.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $2,290.87 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,905.46 / $4,897.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $20,892.96 / $33,884.42
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,197.01 / $21,379.62 / $21,379.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,630.78 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,905.46 / $4,897.79