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New York 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
$910.35 / $5,324.00 / $14,926.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.87 / $783.67 / $1,484.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.44 / $807.73 / $1,673.69
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.77 / $3,478.50 / $13,477.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.77 / $1,085.77 / $1,085.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.94 / $839.94 / $839.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.03 / $1,067.74 / $2,793.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $910.00 / $1,968.73
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.89 / $1,145.30 / $1,688.73
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.34 / $696.34 / $696.34
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.91 / $887.95 / $1,574.93
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $839.94
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.23 / $1,082.58 / $2,670.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.93 / $950.56 / $2,241.63
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.81 / $892.81 / $3,197.75
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.91 / $928.52 / $1,887.25