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Indiana rates for HCPCS 21198

Osteotomy, mandible, segmental;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.29 / $2,318.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.46 / $970.03 / $1,302.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,852.40 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.31 / $1,351.70 / $1,865.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$922.30 / $1,198.99 / $1,383.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.30 / $1,019.14 / $1,383.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,909.74 / $3,909.74 / $4,634.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.22 / $1,332.04 / $2,386.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.54 / $1,226.73 / $2,219.94