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Arizona 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
$2,041.74 / $4,786.30 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $758.58 / $2,137.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,981.07 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,047.13 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $1,513.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,000.00 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $851.14 / $7,585.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,630.78 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,380.38