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Oklahoma 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
$1,288.25 / $3,981.07 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $891.25 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $22,387.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,122.02 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,380.38 / $7,585.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $977.24 / $8,511.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,311.31 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $870.96 / $1,174.90