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Rhode Island rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,955.04 / $5,496.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.34 / $678.13 / $908.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.04 / $672.34 / $1,291.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.39 / $924.01 / $1,247.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,569.00 / $4,571.00 / $7,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.41 / $827.52 / $1,464.50