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Wisconsin rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Facilitymedian $8,318 · 10th–90th $1,000$16,9820%5%10%10th90th$8,318Professionalmedian $813 · 10th–90th $501$2,3440%10%10th90th$813$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,047.13 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $660.69 / $1,659.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $10,232.93 / $17,378.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,047.13 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,089.30 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,548.82 / $3,090.30
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,000.00 / $6,165.95
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,318.26 / $1,862.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,047.13 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,412.54 / $4,897.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $724.44
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $5,754.40 / $7,762.47
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,584.89 / $2,290.87
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,584.89 / $2,344.23
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $11,220.18 / $16,595.87
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $3,235.94 / $4,786.30
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $2,187.76
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $3,235.94 / $4,265.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $7,585.78 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $912.01 / $2,398.83