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North Carolina 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
$731.82 / $1,036.77 / $12,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.75 / $791.16 / $1,364.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.20 / $1,118.35 / $2,027.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.48 / $1,182.48 / $6,346.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.00 / $1,000.84 / $1,768.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.82 / $840.07 / $1,454.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.00 / $826.00 / $1,207.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $982.10 / $1,735.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,661.00 / $7,659.00 / $10,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.27 / $894.90 / $2,010.23
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,149.78 / $20,973.00 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,654.52 / $7,654.52 / $7,654.52