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Tennessee rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.44 / $3,713.00 / $10,746.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.74 / $604.66 / $1,050.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,309.00 / $5,486.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.54 / $763.27 / $1,210.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.00 / $804.21 / $1,312.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,483.12 / $3,580.50 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,660.00 / $4,734.88 / $5,599.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,626.00 / $6,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.15 / $725.50 / $1,429.64