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Arkansas rates for HCPCS 21127

Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $2,884.03 / $5,128.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,096.48 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,513.56 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,819.70 / $6,309.57