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California rates for HCPCS 21121

Genioplasty; sliding osteotomy, single piece

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.44 / $8,979.00 / $20,673.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.84 / $690.97 / $3,060.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.00 / $5,863.00 / $11,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.91 / $890.03 / $1,715.99
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $14,871.05
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.12 / $776.07 / $1,695.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,213.54 / $4,220.99 / $7,546.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.40 / $857.56 / $1,619.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.26 / $776.18 / $1,047.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.91 / $761.88 / $1,384.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,698.94 / $3,742.32 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,710.00 / $5,790.42 / $5,790.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.76 / $831.14 / $1,288.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.87 / $906.49 / $1,632.01
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,899.19 / $1,899.19 / $2,262.23
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.48 / $705.80 / $1,206.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,384.00 / $15,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.32 / $738.71 / $1,580.26