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Maine 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 / $2,951.21 / $6,760.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,148.15 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $2,238.72 / $8,709.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $3,467.37 / $7,943.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $3,162.28 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $2,754.23 / $7,762.47