go back

Rhode Island 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
$3,706.14 / $3,955.04 / $5,496.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.44 / $1,070.44 / $1,364.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.78 / $1,007.30 / $1,697.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.28 / $1,305.11 / $1,808.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,080.00 / $3,912.00 / $7,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.44 / $1,253.71 / $1,925.14