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Alaska rates for HCPCS 21199

Osteotomy, mandible, segmental; with genioglossus advancement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,015.65 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.98 / $5,114.64 / $5,114.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.94 / $3,526.71 / $4,365.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.24 / $5,114.64 / $7,160.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,475.33 / $2,970.39 / $6,030.17
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,826.25 / $5,139.35 / $6,216.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.24 / $5,114.64 / $7,160.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,555.21 / $5,001.14 / $6,837.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,604.21 / $4,937.38 / $6,206.99