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Massachusetts 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
$2,618.00 / $3,111.85 / $8,271.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.44 / $873.72 / $1,364.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.00 / $3,997.00 / $9,039.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.26 / $1,514.44 / $8,519.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.37 / $1,497.57 / $2,520.86
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.66 / $1,369.52 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.10 / $1,172.69 / $1,606.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.93 / $2,057.59 / $2,714.29
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $4,525.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.30 / $1,583.60 / $8,519.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.00 / $4,249.00 / $9,821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.09 / $1,349.09 / $2,585.07