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Nebraska rates for HCPCS 21122

Genioplasty 2/> Sliding Osteotomies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $11,611.47 / $24,068.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.14 / $687.14 / $4,083.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,086.90 / $11,951.75 / $23,118.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.60 / $1,124.31 / $1,499.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,546.46 / $5,546.46 / $5,546.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.00 / $1,696.88 / $2,287.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.14 / $1,202.50 / $7,772.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.33 / $1,465.83 / $2,140.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,932.00 / $6,780.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.00 / $1,498.24 / $2,287.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.33 / $1,465.83 / $1,909.94