go back

Maine rates for HCPCS 21199

Osteotomy, mandible, segmental; with genioglossus advancement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,174.90 / $2,691.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,479.11 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,479.11 / $2,290.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,380.38 / $2,570.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,348.96 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,348.96 / $2,238.72