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Washington, DC 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
$1,017.00 / $4,833.00 / $9,719.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.80 / $791.16 / $1,914.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.14 / $850.61 / $11,208.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.21 / $1,059.52 / $2,116.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.35 / $1,733.36 / $1,733.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.20 / $1,544.80 / $2,098.64