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Minnesota rates for HCPCS 21199

Osteotomy, mandible, segmental; with genioglossus advancement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.55 / $1,026.55 / $6,781.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.84 / $1,026.55 / $1,630.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,961.29 / $10,745.13 / $21,650.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.04 / $2,818.22 / $3,688.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,475.82 / $3,512.83 / $8,450.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.66 / $2,960.81 / $4,397.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,250.75 / $3,211.57 / $6,654.01
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.77 / $2,647.16 / $4,032.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.38 / $1,778.31 / $5,331.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.71 / $1,994.97 / $4,209.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $7,872.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.71 / $1,905.31 / $3,936.01