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Alabama 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
$960.00 / $1,728.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.66 / $1,272.25 / $2,139.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,537.39 / $11,574.08 / $15,570.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.17 / $1,729.00 / $2,161.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.08 / $1,590.62 / $4,607.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,261.00 / $7,430.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.24 / $1,333.72 / $2,242.51