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Alaska rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $12,022.64 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $758.58 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,659.59 / $2,884.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,047.13 / $3,388.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,137.96 / $3,311.31
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,691.53 / $3,630.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $912.01 / $3,388.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $912.01 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $2,511.89 / $3,630.78