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Indiana 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
$697.21 / $2,472.00 / $17,225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.08 / $697.21 / $947.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.00 / $11,294.00 / $22,813.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.33 / $746.20 / $1,029.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.91 / $874.78 / $1,009.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.91 / $778.61 / $1,009.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,955.47 / $4,955.47 / $5,874.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.90 / $868.04 / $1,522.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.34 / $775.05 / $1,425.48