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Washington, DC 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
$1,017.00 / $7,278.00 / $9,719.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.90 / $884.90 / $884.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.65 / $948.80 / $14,265.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.96 / $1,356.22 / $2,366.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.62 / $1,933.46 / $1,933.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $6,073.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.09 / $1,154.22 / $2,340.90