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Washington rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Facilitymedian $5,012 · 10th–90th $1,047$19,0550%10%10th90th$5,012Professionalmedian $2,344 · 10th–90th $676$6,1660%5%10%10th90th$2,344$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 / $6,918.31 / $22,908.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $2,344.23 / $5,011.87
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $15,488.17 / $31,622.78
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,818.38 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,698.24 / $10,471.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $2,238.72 / $7,079.46
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $3,890.45 / $7,585.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $3,090.30 / $7,244.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $354.81
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $5,011.87 / $5,495.41
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,630.78 / $3,630.78
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $3,548.13 / $6,309.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $16,218.10 / $31,622.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $2,818.38 / $6,456.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $16,982.44 / $33,884.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $2,454.71 / $6,309.57
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,258.93 / $3,801.89