go back

Louisiana rates for HCPCS 21122

Genioplasty 2/> Sliding Osteotomies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.00 / $2,758.00 / $5,432.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.30 / $973.94 / $1,316.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,955.95 / $6,621.62 / $11,438.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.19 / $957.99 / $1,248.81
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $679.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.00 / $1,650.00 / $1,650.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.64 / $980.07 / $1,331.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $7,085.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.97 / $798.19 / $1,565.50