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Pennsylvania rates for HCPCS 21199

Osteotomy, mandible, segmental; with genioglossus advancement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.00 / $4,051.00 / $9,617.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.78 / $1,026.51 / $1,509.70
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.67 / $1,052.96 / $1,052.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.48 / $1,146.48 / $1,146.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.28 / $1,240.52 / $2,020.22
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.79 / $1,563.08 / $2,036.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,123.02 / $11,123.02 / $12,495.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $5,350.00 / $10,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.03 / $1,143.88 / $4,986.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.59 / $1,107.59 / $2,059.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.48 / $1,146.48 / $1,146.48
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.21 / $1,266.33 / $2,031.77
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.76 / $994.76 / $1,172.83
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.93 / $995.17 / $1,172.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.79 / $1,259.70 / $2,076.40