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Rhode Island 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
$3,438.26 / $3,706.14 / $4,026.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.65 / $1,562.46 / $1,762.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.04 / $1,468.57 / $2,505.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.76 / $1,983.53 / $2,566.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.59 / $1,754.58 / $2,744.87