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New York 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
$741.31 / $3,019.95 / $6,606.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,801.89 / $10,000.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $3,890.45 / $12,589.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $6,309.57 / $9,120.11
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $5,011.87 / $8,317.64
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $5,248.07 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $2,630.27 / $7,762.47
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $4,168.69 / $7,943.28