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Maryland rates for HCPCS 21199

Osteotomy, mandible, segmental; with genioglossus advancement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.78 / $1,042.48 / $2,666.68
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.67 / $1,113.67 / $1,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $641.21 / $2,754.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.21 / $1,389.14 / $2,573.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.75 / $1,352.89 / $1,769.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.24 / $1,118.68 / $2,201.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.73 / $1,206.06 / $1,502.15