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Vermont rates for HCPCS 21123

Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,096.48 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,202.26 / $1,995.26
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,258.93 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,258.93 / $3,630.78