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Kansas 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
$1,930.00 / $7,655.00 / $14,450.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.65 / $854.55 / $1,359.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.20 / $1,279.06 / $1,279.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $985.00 / $985.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.93 / $1,132.78 / $1,733.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.55 / $1,357.72 / $5,562.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.87 / $1,063.20 / $8,519.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.29 / $2,902.00 / $5,562.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.87 / $1,021.69 / $1,447.05