go back

West Virginia rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $630.96 / $3,548.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $588.84 / $1,023.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $630.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $741.31 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $16,595.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $616.60 / $933.25