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California 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 / $3,715.35 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,348.96 / $5,128.61
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $2,691.53 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $2,630.27 / $7,762.47
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,096.48 / $6,456.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $3,890.45 / $7,585.78
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $33,113.11 / $33,113.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $5,370.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $2,344.23 / $8,511.38
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $13,803.84
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,548.82 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $2,691.53 / $5,888.44