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Arkansas rates for HCPCS 21122

Genioplasty 2/> Sliding Osteotomies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.08 / $1,866.00 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.30 / $862.92 / $982.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,430.62 / $5,430.62 / $6,516.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.71 / $983.38 / $1,041.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,519.08 / $2,519.08 / $2,519.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.73 / $1,075.46 / $1,373.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,650.00 / $4,064.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.86 / $854.95 / $1,395.41