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Indiana rates for HCPCS 21121

Genioplasty; sliding osteotomy, single piece

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.00 / $1,386.00 / $17,225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.88 / $583.08 / $702.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $8,240.00 / $17,829.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.14 / $693.70 / $957.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.49 / $638.94 / $786.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.04 / $699.66 / $874.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,875.40 / $2,875.40 / $3,408.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.74 / $754.90 / $1,290.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,717.90 / $5,174.00 / $9,243.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.26 / $770.00 / $1,370.33