go back

West Virginia 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
$812.83 / $812.83 / $3,548.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $851.14 / $1,348.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,047.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,202.26 / $4,570.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $977.24 / $1,412.54