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Iowa 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
$5,091.00 / $7,090.00 / $11,611.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.87 / $990.75 / $1,181.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.00 / $1,696.88 / $2,121.10
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.05 / $1,072.53 / $4,206.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.02 / $1,783.54 / $9,224.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.34 / $1,393.23 / $7,654.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,374.54 / $1,829.99 / $6,780.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.17 / $1,553.44 / $2,287.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,327.00 / $8,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.82 / $1,163.92 / $2,348.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.79 / $1,449.10 / $1,704.80