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Nebraska 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
$707.95 / $3,715.35 / $8,128.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $3,235.94 / $7,413.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,398.83 / $11,220.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $7,585.78 / $29,512.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $7,413.10 / $11,220.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,398.83 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $3,548.13 / $9,549.93