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New Hampshire rates for HCPCS 21122

Genioplasty 2/> Sliding Osteotomies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.38 / $677.30 / $976.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.38 / $1,216.83 / $1,866.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.94 / $3,906.58 / $4,043.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.73 / $1,424.68 / $2,225.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.14 / $1,371.77 / $2,580.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.95 / $1,305.92 / $2,563.02
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.46 / $674.81 / $858.84