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Michigan rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.44 / $4,933.00 / $6,853.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.24 / $664.03 / $859.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,643.88 / $6,624.26 / $8,974.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.21 / $548.33 / $848.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.35 / $674.71 / $1,203.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.53 / $4,933.00 / $6,853.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.45 / $693.78 / $1,046.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $471.17 / $765.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,806.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.79 / $763.00 / $1,022.01