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Georgia 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
$1,853.50 / $4,708.00 / $8,331.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,293.41 / $1,605.31 / $4,223.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.84 / $2,821.84 / $2,821.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,376.26 / $4,412.76 / $8,702.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.40 / $2,006.99 / $3,632.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.07 / $2,233.07 / $2,233.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $1,599.88 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,492.46 / $2,315.21 / $3,654.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.01 / $2,352.10 / $3,691.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.88 / $1,945.81 / $3,382.34