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California rates for HCPCS 21199

Osteotomy, mandible, segmental; with genioglossus advancement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,421.00 / $8,870.00 / $19,368.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.58 / $1,005.38 / $5,515.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,675.00 / $9,256.00 / $18,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.89 / $1,485.24 / $2,922.43
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $15,290.89
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.30 / $1,157.66 / $2,626.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $5,729.24 / $10,261.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.00 / $1,279.06 / $2,785.82
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.89 / $1,171.99 / $1,690.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.11 / $1,320.99 / $2,358.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,490.16 / $16,547.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,778.46 / $13,778.46 / $13,778.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.93 / $1,328.31 / $2,016.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.00 / $1,323.88 / $2,697.59
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,421.99 / $3,421.99 / $3,421.99
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.72 / $1,301.74 / $1,690.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,142.00 / $12,313.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.32 / $1,075.69 / $2,346.48