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Delaware rates for HCPCS 21121

Genioplasty; sliding osteotomy, single piece

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $6,907.00 / $7,265.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.92 / $583.08 / $690.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,353.98 / $2,353.98 / $2,353.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.15 / $702.39 / $1,247.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $1,485.00 / $1,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.70 / $753.76 / $1,540.34