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New York rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $5,128.61 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $676.08 / $1,584.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $7,762.47 / $19,498.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $691.83 / $1,659.59
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $3,467.37 / $13,489.63
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $891.25 / $2,290.87
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $676.08 / $1,905.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,148.15 / $1,659.59
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $851.14 / $1,380.38
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $870.96 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $4,365.16 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $724.44 / $1,819.70
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $602.56 / $1,995.26
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $794.33 / $1,548.82