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Maryland 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
Professional
Modifier
Low / Median / High Price
$671.28 / $782.62 / $2,003.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.14 / $696.14 / $884.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.00 / $1,012.17 / $3,490.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.18 / $923.50 / $1,765.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.89 / $1,009.93 / $1,330.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $520.00 / $733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.32 / $878.38 / $1,704.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.26 / $900.32 / $1,108.09