go back

New Mexico 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 / $3,235.94 / $6,309.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,949.84 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $2,884.03 / $6,606.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $3,235.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $2,884.03 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $2,951.21 / $6,606.93