go back

Florida 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
$1,029.88 / $3,807.00 / $11,901.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.08 / $1,206.02 / $1,613.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.51 / $1,541.11 / $2,629.06
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.20 / $1,135.13 / $1,334.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.68 / $879.45 / $1,550.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.39 / $1,291.29 / $2,358.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.21 / $945.21 / $1,176.70