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Idaho rates for HCPCS 21199

Osteotomy Mandible Sgmtl W/Genioglossus Advmnt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.55 / $1,454.48 / $2,120.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,502.28 / $3,502.28 / $3,512.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.58 / $1,557.03 / $1,882.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.69 / $1,849.46 / $2,537.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,633.71 / $1,782.23 / $2,419.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,432.36 / $1,802.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $14,097.25 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,717.14 / $2,020.16 / $2,419.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.95 / $1,553.77 / $2,211.13