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Tennessee 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
$1,480.53 / $4,161.00 / $10,746.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.77 / $733.02 / $1,189.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,171.00 / $6,138.00 / $9,419.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.78 / $943.62 / $1,510.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.17 / $982.55 / $1,548.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,149.78 / $20,973.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,654.52 / $7,654.52 / $7,654.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,626.00 / $6,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.20 / $832.41 / $1,607.75