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Massachusetts rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.36 / $3,107.00 / $7,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.34 / $605.61 / $908.53
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $3,483.12 / $11,217.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.80 / $1,161.69 / $4,734.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.69 / $787.31 / $1,405.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.00 / $1,053.78 / $1,904.13
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.63 / $1,117.16 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.35 / $932.54 / $1,291.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.20 / $1,361.07 / $1,903.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.40 / $1,396.38 / $4,734.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.72 / $989.20 / $2,046.47