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Alabama rates for HCPCS 21123

Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $1,746.00 / $2,729.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.19 / $829.43 / $1,352.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.56 / $6,380.30 / $8,583.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.13 / $1,081.00 / $1,351.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.80 / $927.94 / $3,181.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $2,891.00 / $4,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.85 / $845.82 / $1,480.19