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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
$2,238.72 / $4,786.30 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,659.59 / $4,365.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,413.10 / $7,413.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,862.09 / $3,467.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,041.74 / $7,244.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,862.09 / $15,848.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,466.84 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,698.24 / $2,344.23