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Nevada 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
$1,642.00 / $3,042.00 / $6,953.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,293.41 / $1,377.61 / $2,297.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,877.00 / $5,379.00 / $8,190.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,592.30 / $1,710.77 / $2,459.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.44 / $1,799.00 / $2,543.81
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.40 / $1,633.85 / $3,475.29
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,537.87 / $6,537.87 / $6,537.87
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.80 / $1,376.92 / $4,739.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.00 / $4,794.00 / $10,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.98 / $1,718.30 / $2,579.29