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Arizona rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $5,128.61 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $660.69 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,981.07 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $812.83 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $691.83 / $1,202.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $707.95 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $831.76 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,630.78 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $616.60 / $1,047.13