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Alabama rates for HCPCS 21193

Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,728.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.93 / $1,204.52 / $1,964.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,537.39 / $11,574.08 / $15,570.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,642.70 / $2,250.28 / $2,655.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.56 / $1,422.25 / $4,179.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.00 / $3,816.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.64 / $1,212.24 / $2,060.81