go back

Hawaii rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,583.13 / $3,107.00 / $8,431.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.84 / $507.84 / $637.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.43 / $869.59 / $1,043.51
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.79 / $968.91 / $1,093.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.04 / $765.24 / $869.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $1,981.00 / $1,981.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.71 / $869.51 / $1,128.10
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.58 / $4,682.00 / $11,157.30