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Maryland 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 / $3,388.44 / $5,754.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $851.14 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $2,511.89 / $7,585.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,786.30 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $2,041.74 / $7,079.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $5,011.87 / $6,606.93