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Illinois rates for HCPCS 21122

Genioplasty 2/> Sliding Osteotomies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,221.00 / $8,783.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.20 / $753.53 / $1,452.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,070.62 / $9,763.02 / $17,620.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.20 / $1,229.56 / $1,500.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.00 / $7,194.87 / $8,032.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.04 / $1,032.00 / $1,526.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.46 / $1,215.53 / $5,753.51
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.57 / $929.53 / $1,032.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,166.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.00 / $3,751.00 / $6,514.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.17 / $913.96 / $1,675.01