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New Hampshire rates for HCPCS 21121

Genioplasty; sliding osteotomy, single piece

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,321.13 / $5,229.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.70 / $765.18 / $916.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.28 / $859.58 / $1,200.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.78 / $3,906.58 / $4,043.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.99 / $1,133.29 / $1,921.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.79 / $1,064.15 / $1,999.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.66 / $1,071.66 / $2,043.24
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.24 / $632.33 / $886.24