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Alaska rates for HCPCS 21121

Genioplasty; sliding osteotomy, single piece

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,813.80 / $11,709.00 / $20,143.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.10 / $1,813.80 / $3,076.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.10 / $1,899.08 / $2,735.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.01 / $2,629.96 / $4,306.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.59 / $1,867.05 / $3,751.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,021.25 / $2,862.60 / $4,293.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.01 / $2,629.96 / $4,306.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.59 / $2,916.00 / $4,614.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,762.96 / $3,525.92 / $3,878.51