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Pennsylvania rates for HCPCS 21127

Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)

Professionalmedian $3,162 · 10th–90th $741–$5,6230%10%20%10th90th$3,162$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $3,388.44 / $5,495.41
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,778.28 / $6,456.54
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $6,606.93 / $8,317.64
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $4,786.30 / $6,606.93
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $3,019.95 / $4,677.35
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $6,025.60 / $9,332.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,096.48 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,819.70 / $6,309.57