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Michigan 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
$947.67 / $4,933.00 / $6,853.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.28 / $947.67 / $984.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,088.07 / $4,798.18 / $6,500.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.15 / $702.77 / $1,293.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.13 / $810.09 / $1,651.08
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.03 / $4,933.00 / $6,853.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.03 / $755.56 / $1,161.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $500.97 / $854.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,806.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.12 / $833.30 / $1,084.84