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Missouri rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.47 / $4,908.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.69 / $564.86 / $1,048.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.37 / $576.15 / $870.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.12 / $763.12 / $1,300.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.73 / $810.02 / $3,532.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.16 / $986.61 / $4,891.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.28 / $801.27 / $1,360.96