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Delaware 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
$6,907.00 / $6,907.00 / $7,265.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.49 / $754.96 / $754.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,056.85 / $4,056.85 / $4,056.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.41 / $692.10 / $1,269.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $1,485.00 / $1,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.20 / $771.62 / $1,754.63