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Colorado 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
$2,674.00 / $6,028.00 / $11,529.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.44 / $846.57 / $1,253.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.78 / $1,208.06 / $1,937.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,997.28 / $1,997.28 / $6,291.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.18 / $1,167.98 / $1,750.46
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.57 / $1,131.56 / $1,506.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.01 / $1,215.38 / $1,676.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.00 / $4,965.00 / $11,259.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.38 / $1,232.83 / $1,961.03