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Colorado 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
$1,231.58 / $6,028.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.13 / $1,231.58 / $1,757.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.70 / $1,741.71 / $2,793.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.35 / $1,655.26 / $2,480.28
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.58 / $1,660.72 / $2,216.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.33 / $1,768.12 / $2,438.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,251.00 / $11,924.00 / $19,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.60 / $1,753.40 / $3,441.29