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Washington, DC rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $4,100.00 / $9,719.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.27 / $585.27 / $714.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.34 / $607.49 / $12,839.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.78 / $970.75 / $1,922.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.69 / $1,560.14 / $1,560.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.29 / $970.76 / $1,888.91