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Washington, DC 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
$1,614.00 / $5,857.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,484.27 / $1,484.27 / $3,591.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.25 / $1,731.28 / $5,899.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.33 / $2,116.96 / $3,959.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,561.48 / $3,246.99 / $3,246.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.36 / $3,289.47 / $3,931.23