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Florida 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
$1,234.73 / $5,188.21 / $12,444.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.73 / $1,406.94 / $1,987.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.60 / $1,809.17 / $2,940.48
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,078.00 / $12,767.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.17 / $1,302.35 / $1,539.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.05 / $1,015.20 / $1,791.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.58 / $1,511.97 / $2,561.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.33 / $1,095.33 / $1,381.14