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Indiana 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
$800.40 / $2,472.00 / $17,225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.06 / $805.00 / $1,080.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $8,240.00 / $17,829.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.48 / $962.40 / $1,328.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.08 / $998.50 / $1,152.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.08 / $921.70 / $1,152.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,868.80 / $1,868.80 / $2,215.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.23 / $1,043.58 / $1,754.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,138.00 / $6,032.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.41 / $944.25 / $1,679.82