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Wisconsin rates for HCPCS 21123

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

Facilitymedian $4,786 · 10th–90th $2,344$7,9430%10%10th90th$4,786Professionalmedian $1,259 · 10th–90th $794$3,8020%10%20%10th90th$1,259$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,737.80 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $851.14 / $2,137.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,786.30 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,737.80 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,630.27 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $3,467.37 / $3,981.07
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,819.70 / $10,232.93
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,041.74 / $2,630.27
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,949.84 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,584.89 / $8,511.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $5,754.40 / $7,762.47
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $2,041.74 / $3,801.89
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,862.09 / $2,818.38
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $7,943.28 / $7,943.28
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $4,265.80 / $8,511.38
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $2,818.38
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,897.79 / $5,495.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $7,585.78 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,348.96 / $3,548.13