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Tennessee rates for HCPCS 21121

Genioplasty; sliding osteotomy, single piece

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.69 / $3,940.00 / $10,746.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.08 / $660.50 / $1,023.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $3,611.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.79 / $900.84 / $1,394.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.99 / $880.83 / $1,420.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,698.94 / $3,742.32 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,710.00 / $5,790.42 / $5,790.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,616.00 / $6,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.34 / $832.26 / $1,437.36