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Oklahoma 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 / $3,311.31 / $5,370.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $3,162.28 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $2,398.83 / $5,495.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $4,365.16 / $29,512.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $2,454.71 / $4,570.88