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Minnesota rates for HCPCS 21122

Genioplasty 2/> Sliding Osteotomies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.04 / $756.04 / $7,397.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.02 / $756.04 / $1,181.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,587.51 / $10,339.56 / $20,811.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.08 / $2,092.98 / $2,738.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,825.09 / $2,589.54 / $6,229.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.56 / $2,170.53 / $3,223.57
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.17 / $2,367.46 / $4,905.10
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.61 / $1,946.92 / $2,956.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.04 / $1,302.97 / $4,149.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.99 / $1,413.10 / $3,090.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,412.00 / $4,746.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.97 / $1,621.73 / $2,995.01