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North Carolina rates for HCPCS 21199

Osteotomy, mandible, segmental; with genioglossus advancement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.09 / $1,849.00 / $10,690.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.98 / $1,042.48 / $1,962.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,474.86 / $3,474.86 / $3,525.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.72 / $1,974.73 / $2,764.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $5,006.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.31 / $1,449.64 / $2,547.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.09 / $1,287.80 / $2,067.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.00 / $1,267.00 / $1,311.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,313.10 / $2,698.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.04 / $1,269.90 / $2,548.58
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $14,442.95 / $16,547.20
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,778.46 / $13,778.46 / $13,778.46