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Arizona rates for HCPCS 21199

Osteotomy, mandible, segmental; with genioglossus advancement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.15 / $964.24 / $5,515.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $4,934.39 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.47 / $1,206.26 / $1,507.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.40 / $1,241.95 / $2,039.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.21 / $1,303.68 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.68 / $1,116.73 / $13,778.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.19 / $1,075.69 / $1,989.85