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Texas rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Facilitymedian $4,266 · 10th–90th $1,000$14,1250%5%10th90th$4,266Professionalmedian $2,239 · 10th–90th $646$4,1690%5%10%10th90th$2,239$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
$1,096.48 / $4,073.80 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $2,290.87 / $3,890.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $7,585.78 / $14,454.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,905.46 / $3,630.78
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $588.84 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $2,137.96 / $5,128.61
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $33,884.42 / $33,884.42
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,197.01 / $21,379.62 / $21,379.62
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $2,344.23 / $6,025.60
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $2,344.23 / $4,677.35
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $104.71 / $2,089.30
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $912.01 / $912.01
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,737.80 / $4,897.79
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $2,187.76 / $5,128.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $4,265.80 / $7,585.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,905.46 / $3,890.45
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,570.40 / $2,570.40