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Florida 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
$810.77 / $4,790.00 / $13,066.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.06 / $833.43 / $1,115.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $1,389.94 / $1,654.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.35 / $1,083.64 / $1,714.97
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.42 / $730.00 / $905.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $620.40 / $1,041.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,954.00 / $5,887.00 / $9,684.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.46 / $908.01 / $1,643.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.56 / $699.56 / $797.85