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Washington 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 / $3,162.28 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $3,311.31 / $10,964.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $3,630.78 / $9,120.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $407.38
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,570.40 / $10,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $2,818.38 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $3,019.95 / $9,332.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,348.96 / $5,888.44