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North Carolina rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.98 / $900.63 / $12,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.98 / $647.24 / $1,109.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,920.34 / $1,920.34 / $1,948.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.19 / $889.74 / $1,530.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.48 / $1,182.48 / $5,006.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.29 / $797.46 / $1,430.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.98 / $711.96 / $1,170.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.00 / $747.00 / $1,207.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $876.70 / $1,892.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,661.00 / $7,659.00 / $10,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.91 / $797.69 / $1,605.78
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,483.12 / $3,483.12 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,660.00 / $4,734.88 / $5,599.35