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Michigan 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 / $5,370.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $1,174.90 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $2,290.87 / $6,165.95
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $4,073.80 / $5,754.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,348.96 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $2,187.76 / $5,248.07