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Virginia rates for HCPCS 21127

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

Professionalmedian $1,905 · 10th–90th $759$5,7540%10%10th90th$1,905$500.0$1.0K$2.0K$5.0K$10.0K$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
$741.31 / $2,691.53 / $5,128.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,122.02 / $1,905.46
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,122.02 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $2,187.76 / $7,244.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $5,011.87 / $6,025.60
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $3,890.45 / $9,772.37
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,023.29
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $5,011.87 / $10,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,905.46 / $6,760.83