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Missouri rates for HCPCS 21199

Osteotomy, mandible, segmental; with genioglossus advancement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.00 / $5,144.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.86 / $1,026.51 / $1,634.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.56 / $1,254.50 / $1,931.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.79 / $1,369.03 / $2,332.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.72 / $1,454.48 / $4,813.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.39 / $1,460.40 / $13,778.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,044.49 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.52 / $1,321.71 / $2,197.29