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Hawaii rates for HCPCS 21121

Genioplasty; sliding osteotomy, single piece

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,583.13 / $3,107.00 / $8,431.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.94 / $666.50 / $690.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.63 / $829.20 / $995.04
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.13 / $1,013.06 / $1,275.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.19 / $729.70 / $829.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $1,981.00 / $1,981.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.63 / $829.20 / $1,128.24
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.26 / $4,682.00 / $11,157.30