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Missouri 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
$1,760.00 / $5,389.00 / $12,174.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.19 / $854.55 / $1,359.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.72 / $1,018.61 / $1,589.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.35 / $1,139.67 / $1,928.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.20 / $1,312.67 / $7,909.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.08 / $1,222.33 / $8,519.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,849.00 / $5,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.21 / $1,135.01 / $1,792.37