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Alabama rates for HCPCS 21196

Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,800.00 / $5,212.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.73 / $1,377.62 / $2,402.83
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
$2,078.21 / $3,184.73 / $3,757.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.54 / $1,757.79 / $5,093.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.00 / $3,816.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.58 / $1,381.47 / $2,440.34