go back

Illinois 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 / $3,019.95 / $6,606.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $2,691.53 / $7,413.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,995.26 / $6,760.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $4,677.35 / $6,606.93
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $977.24 / $5,128.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $2,454.71 / $6,309.57