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West Virginia rates for HCPCS 21121

Genioplasty; sliding osteotomy, single piece

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.76 / $795.20 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.76 / $663.64 / $1,019.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.19 / $563.01 / $670.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.66 / $596.40 / $596.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.78 / $902.78 / $902.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.25 / $873.90 / $2,185.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.46 / $841.90 / $1,137.19