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Massachusetts 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
$2,618.00 / $3,111.85 / $8,271.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.38 / $734.67 / $1,181.49
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,253.60 / $3,997.00 / $12,379.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.06 / $1,253.60 / $7,654.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.27 / $1,204.25 / $2,198.36
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.91 / $1,630.04 / $7,315.92
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.37 / $1,040.98 / $1,434.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.88 / $1,833.48 / $2,418.65
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $4,149.78 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.94 / $1,392.57 / $7,654.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.15 / $1,203.47 / $2,528.19