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Wisconsin rates for HCPCS 21121

Genioplasty Sliding Osteotomy Single Piece

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.84 / $1,116.97 / $13,367.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.84 / $631.35 / $2,683.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.59 / $1,215.78 / $3,568.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,669.32 / $2,669.32 / $2,669.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,688.70 / $1,973.38 / $3,027.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.20 / $1,956.15 / $2,918.64
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.84 / $849.84 / $1,436.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.22 / $987.90 / $7,160.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.67 / $1,569.38 / $5,790.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $388.03 / $1,231.38
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.84 / $844.25 / $1,436.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.28 / $1,523.81 / $2,274.75
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,742.32 / $3,742.32 / $4,408.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.09 / $2,811.30 / $5,790.42
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,750.69 / $1,750.69 / $2,101.85
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,083.55 / $3,415.60 / $4,087.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.98 / $1,412.44 / $3,028.89