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Idaho 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
$4,500.00 / $4,805.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.28 / $1,221.53 / $1,766.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.04 / $1,674.04 / $1,678.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.50 / $1,306.00 / $1,581.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.95 / $1,534.50 / $2,137.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.44 / $1,475.39 / $2,010.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,180.11 / $1,484.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,040.66 / $7,582.86 / $9,755.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.13 / $1,684.91 / $2,010.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.15 / $1,308.32 / $1,861.98