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California 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
$2,645.00 / $9,674.00 / $21,960.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.08 / $833.43 / $4,689.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,675.00 / $8,484.00 / $16,676.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.15 / $1,183.80 / $2,458.14
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $14,871.05
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.50 / $1,038.81 / $2,330.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,738.49 / $2,743.34 / $4,904.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.90 / $1,088.44 / $2,417.10
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.60 / $1,005.45 / $1,408.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.05 / $1,107.57 / $1,989.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,642.68 / $7,909.30 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,519.70 / $8,519.70 / $8,519.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.28 / $1,117.83 / $1,788.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.70 / $1,123.63 / $2,275.92
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,909.95 / $2,909.95 / $2,909.95
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.46 / $1,116.90 / $1,408.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,842.00 / $7,106.00 / $14,743.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.32 / $892.32 / $1,973.44