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Arkansas 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
$1,096.48 / $1,819.70 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $870.96 / $1,258.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,230.27 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,137.96 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,023.29 / $1,621.81