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Connecticut rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.53 / $7,687.65 / $15,171.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.50 / $676.84 / $1,499.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,920.00 / $11,936.00 / $15,915.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.12 / $1,014.48 / $1,416.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $7,993.34 / $7,993.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.45 / $1,038.76 / $1,613.44
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $4,588.00 / $4,682.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.36 / $942.44 / $1,180.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,565.00 / $6,647.00 / $9,973.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.20 / $1,080.42 / $1,951.88