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Oregon 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
$776.25 / $3,548.13 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $3,630.78 / $10,964.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $3,981.07 / $10,000.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $4,365.16 / $9,120.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $2,089.30 / $10,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,630.27 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $3,235.94 / $9,772.37