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Washington, DC 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 / $3,090.30 / $5,128.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $8,511.38 / $16,218.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $2,137.96 / $10,471.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $4,677.35 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $2,570.40 / $9,772.37