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Idaho 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 / $6,606.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,754.23 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,513.56 / $6,760.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $5,128.61 / $8,317.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $2,344.23 / $8,317.64
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $3,630.78 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $2,754.23 / $7,762.47