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Kentucky 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
$1,192.15 / $1,924.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.15 / $1,377.61 / $2,279.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $9,015.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.25 / $1,387.90 / $2,148.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.17 / $1,823.28 / $2,103.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.04 / $1,823.28 / $2,604.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,430.65 / $1,599.88 / $1,599.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.81 / $1,965.57 / $3,079.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,693.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.83 / $1,746.10 / $2,818.91