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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
$1,447.26 / $4,474.00 / $9,112.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.79 / $721.32 / $4,083.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $4,934.39 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.41 / $887.32 / $1,109.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.99 / $887.06 / $1,469.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.62 / $951.19 / $3,978.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.95 / $797.04 / $7,654.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.30 / $730.62 / $1,465.23