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Kansas 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
$1,797.00 / $5,458.00 / $12,237.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.96 / $1,443.98 / $2,297.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,312.85 / $2,721.00 / $2,721.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.09 / $1,929.75 / $3,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.38 / $2,040.16 / $5,323.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.51 / $1,782.70 / $15,789.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,508.44 / $1,782.70 / $3,011.71