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Hawaii 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
$776.25 / $2,884.03 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $4,365.16 / $6,025.60
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,584.89 / $6,760.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $4,570.88 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $3,311.31 / $5,370.32
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $9,120.11 / $14,125.38