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Utah rates for HCPCS 21121

Genioplasty Sliding Osteotomy Single Piece

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.87 / $3,977.00 / $9,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.28 / $896.87 / $3,060.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.40 / $887.81 / $1,282.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $371.15 / $610.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,525.68 / $6,104.56 / $8,896.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.89 / $977.78 / $1,882.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.20 / $765.27 / $1,166.40