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Minnesota rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.71 / $684.52 / $6,976.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $684.52 / $1,041.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,482.48 / $9,984.76 / $20,811.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.39 / $1,585.19 / $2,339.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.51 / $2,344.67 / $5,640.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.88 / $1,729.28 / $2,814.17
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,502.28 / $2,143.60 / $4,441.29
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.41 / $1,561.42 / $2,566.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.82 / $1,036.82 / $1,831.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.45 / $1,357.44 / $4,660.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,412.00 / $4,746.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.66 / $1,204.39 / $2,548.12