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Indiana rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.34 / $1,386.00 / $17,225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.50 / $595.22 / $739.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.00 / $11,294.00 / $22,813.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.42 / $525.08 / $735.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.76 / $593.79 / $811.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.86 / $710.23 / $887.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,909.74 / $3,909.74 / $4,634.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.33 / $679.94 / $1,087.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.21 / $705.62 / $1,258.99