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Massachusetts 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 / $3,162.28 / $6,309.57
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $3,162.28 / $13,182.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $2,454.71 / $10,000.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $5,754.40 / $7,943.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $3,311.31 / $10,232.93
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $3,162.28 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $2,630.27 / $10,000.00