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Nevada 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
$1,862.00 / $3,509.00 / $7,674.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.66 / $1,315.89 / $7,347.29
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
$1,450.10 / $1,601.10 / $2,205.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,113.45 / $4,113.45 / $4,113.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.13 / $1,689.85 / $2,325.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $1,500.82 / $4,655.27
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
$21.60 / $1,289.15 / $6,348.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.00 / $4,794.00 / $11,445.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.81 / $1,587.48 / $2,448.71