go back

Utah 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
$976.24 / $4,387.00 / $11,692.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.32 / $976.24 / $4,083.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.26 / $991.34 / $1,612.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $439.41 / $710.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.52 / $1,175.70 / $1,584.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.48 / $819.18 / $1,256.94