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Wyoming 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
$846.57 / $866.08 / $1,138.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,752.00 / $2,752.00 / $2,752.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,614.00 / $1,937.00 / $2,930.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.84 / $1,561.28 / $2,365.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $2,607.00 / $10,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.53 / $1,752.46 / $2,852.19