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Rhode Island 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 / $2,691.53 / $6,760.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $2,630.27 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,862.09 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $2,398.83 / $7,585.78