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Texas 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
$945.00 / $3,895.00 / $13,004.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.74 / $754.83 / $1,190.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,734.91 / $7,421.31 / $14,454.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.45 / $814.00 / $1,193.46
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $679.82 / $683.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.94 / $839.94 / $839.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.66 / $969.60 / $1,433.94
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.74 / $860.56 / $1,611.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.98 / $1,095.57 / $1,358.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.70 / $761.70 / $761.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.32 / $862.50 / $1,706.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.96 / $1,002.19 / $1,554.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,326.00 / $7,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.54 / $766.23 / $1,236.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.36 / $705.14 / $985.42