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Vermont 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
$831.76 / $3,388.44 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,819.70 / $7,079.46
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $6,025.60 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $3,388.44 / $9,332.54