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Colorado 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
$955.50 / $3,827.50 / $9,872.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.08 / $1,429.47 / $2,279.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.24 / $2,031.68 / $3,258.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,554.83 / $1,954.81 / $3,021.05
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.47 / $1,880.02 / $2,573.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,556.85 / $2,052.21 / $2,830.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,251.00 / $11,924.00 / $19,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,473.85 / $2,047.00 / $3,190.98