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Idaho rates for HCPCS 21120

Genioplasty Augmentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,805.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.04 / $922.14 / $1,353.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,502.28 / $3,502.28 / $3,512.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.39 / $865.17 / $1,162.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.03 / $1,035.97 / $1,488.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.66 / $1,059.43 / $1,284.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $906.56 / $1,140.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $14,097.25 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.35 / $1,129.65 / $1,401.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.36 / $999.44 / $1,404.01