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Oklahoma rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $5,511.00 / $16,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.94 / $538.86 / $690.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,585.95 / $10,462.75 / $16,531.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,703.09 / $4,703.09 / $4,703.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.26 / $681.79 / $932.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.94 / $754.49 / $5,465.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.83 / $740.38 / $4,891.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $3,317.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.91 / $679.77 / $1,027.28