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Kentucky rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.77 / $679.70 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.77 / $538.86 / $679.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,104.00 / $5,280.00 / $12,101.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.01 / $461.93 / $710.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.69 / $638.34 / $736.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.96 / $639.48 / $911.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.22 / $838.97 / $838.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.79 / $766.42 / $1,152.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $759.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,723.00 / $6,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.55 / $779.10 / $1,217.30