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West Virginia rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Facilitymedian $1,413 · 10th–90th $646–$3,5480%20%10th90th$1,413Professionalmedian $1,820 · 10th–90th $617–$3,2360%10%20%10th90th$1,820$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $1,412.54 / $3,548.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $2,290.87 / $2,951.21
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $851.14
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $2,398.83 / $11,748.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $16,595.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,230.27 / $3,801.89