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Missouri 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 / $3,388.44 / $6,309.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $3,715.35 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,862.09 / $7,079.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $5,754.40 / $29,512.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $2,754.23 / $6,025.60