go back

Indiana 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
$724.44 / $2,691.53 / $5,623.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,698.24 / $5,248.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $2,041.74 / $5,623.41