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Missouri rates for HCPCS 21121

Genioplasty; sliding osteotomy, single piece

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.51 / $4,908.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.98 / $586.54 / $906.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.00 / $734.81 / $1,065.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.29 / $849.97 / $1,351.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.24 / $900.93 / $3,532.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.58 / $1,055.73 / $5,790.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,742.00 / $2,565.10 / $5,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.45 / $864.30 / $1,443.50