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Idaho rates for HCPCS 21121

Genioplasty; sliding osteotomy, single piece

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,805.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.94 / $863.15 / $1,315.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.73 / $2,575.73 / $2,582.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.38 / $925.85 / $1,164.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.50 / $1,117.78 / $1,591.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.02 / $1,046.08 / $1,332.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $895.33 / $1,126.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,040.66 / $7,582.86 / $9,755.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.77 / $1,112.46 / $1,475.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.24 / $1,049.76 / $1,549.55