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Nationwide rates for HCPCS 21195

Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $5,248.07 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,380.38 / $3,019.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $9,772.37 / $17,782.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,698.24 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $3,981.07 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,949.84 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $7,244.36 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,584.89 / $2,951.21