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South Carolina rates for HCPCS 21122

Genioplasty 2/> Sliding Osteotomies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.98 / $9,622.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.28 / $792.47 / $978.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,806.94 / $5,819.33 / $9,892.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.41 / $797.24 / $1,341.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.94 / $1,740.00 / $6,045.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.10 / $967.44 / $1,666.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.59 / $905.00 / $1,706.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,851.65 / $3,851.65 / $3,851.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $521.19 / $986.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.94 / $830.59 / $1,677.76