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Michigan rates for HCPCS 21121

Genioplasty; sliding osteotomy, single piece

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.90 / $1,388.00 / $6,853.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.23 / $690.97 / $826.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,436.15 / $2,859.32 / $3,873.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.88 / $503.27 / $885.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.18 / $765.71 / $1,200.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.70 / $4,933.00 / $6,853.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.87 / $745.29 / $1,032.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $428.20 / $732.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,574.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.71 / $870.76 / $1,228.18