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Delaware 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
$6,907.00 / $6,907.00 / $7,265.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.39 / $854.58 / $854.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.91 / $1,529.91 / $1,529.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.97 / $948.09 / $1,632.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.58 / $967.07 / $1,992.17