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Maine rates for HCPCS 21122

Genioplasty 2/> Sliding Osteotomies

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.38 / $801.50 / $976.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.15 / $1,018.66 / $1,431.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.42 / $1,138.47 / $1,633.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.75 / $1,076.88 / $1,651.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.38 / $831.63 / $976.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.67 / $938.80 / $1,500.89