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Arizona 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
$741.31 / $3,548.13 / $6,760.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $3,467.37 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $2,398.83 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $5,011.87 / $29,512.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $2,454.71 / $5,495.41