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Mississippi 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
$766.15 / $1,642.87 / $2,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.15 / $843.72 / $1,856.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,371.58 / $1,371.58 / $1,371.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.00 / $1,404.00 / $1,404.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.60 / $1,442.59 / $3,384.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.96 / $1,358.97 / $1,795.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.00 / $2,361.00 / $6,928.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.83 / $1,049.10 / $1,923.57