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North Carolina 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
$1,174.90 / $3,467.37 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $891.25 / $2,187.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,096.48 / $2,454.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,202.26 / $2,089.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,995.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $1,737.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,479.11 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,918.31 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,819.70
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $33,884.42
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $8,511.38