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New Hampshire 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
$794.33 / $3,548.13 / $6,165.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,479.11 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $2,570.40 / $11,748.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $3,311.31 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $2,691.53 / $9,120.11