go back

Iowa 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
$1,348.96 / $6,606.93 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $891.25 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,995.26 / $2,454.71
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,122.02 / $2,818.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $2,137.96 / $8,128.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,698.24 / $8,511.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,089.30 / $2,290.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,778.28 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $6,606.93 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,258.93 / $2,454.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,621.81 / $1,905.46