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Washington, DC rates for HCPCS 21196

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

Facilitymedian $5,129 · 10th–90th $1,698$7,7620%10%20%10th90th$5,129Professionalmedian $1,660 · 10th–90th $1,318$4,6770%20%10th90th$1,660$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $5,128.61 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,659.59 / $4,677.35
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $3,630.78 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,862.09 / $3,981.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $3,019.95 / $3,235.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $13,182.57 / $33,113.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,905.46 / $3,890.45