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Arkansas rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.88 / $1,688.00 / $4,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.74 / $657.64 / $854.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,430.62 / $5,430.62 / $6,516.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.70 / $707.70 / $918.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,519.08 / $2,519.08 / $2,519.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.00 / $829.36 / $1,111.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,650.00 / $4,064.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.91 / $742.19 / $1,223.84