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Nevada 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
$1,550.00 / $3,459.00 / $7,674.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.53 / $1,166.13 / $2,316.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,877.00 / $5,379.00 / $8,190.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.91 / $1,463.61 / $2,012.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.54 / $1,561.00 / $2,178.48
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $1,388.56 / $3,475.29
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,537.87 / $6,537.87 / $6,537.87
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $1,187.78 / $4,739.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.00 / $4,794.00 / $10,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.18 / $1,473.17 / $2,254.15