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Nationwide rates for HCPCS 21194

Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $4,897.79 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,479.11 / $3,162.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $9,772.37 / $17,782.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,819.70 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $3,890.45 / $10,471.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,089.30 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $7,079.46 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,659.59 / $3,090.30