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Alaska rates for HCPCS 21122

Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical chin)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $13,413.92 / $20,143.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.79 / $3,579.55 / $3,579.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,848.35 / $2,470.79 / $3,227.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.53 / $3,579.55 / $5,011.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,825.95 / $2,191.14 / $4,448.26
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,797.50 / $3,611.90 / $4,570.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.53 / $3,579.55 / $5,011.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.32 / $3,326.75 / $5,027.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.88 / $2,981.97 / $4,348.60