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West Virginia 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
$724.44 / $2,884.03 / $4,466.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $3,715.35 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,412.54 / $5,011.87