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Tennessee rates for HCPCS 21199

Osteotomy, mandible, segmental; with genioglossus advancement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,256.00 / $2,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.62 / $1,050.09 / $1,630.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,276.00 / $6,794.00 / $12,048.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.57 / $1,355.81 / $2,103.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.39 / $1,396.48 / $2,111.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $16,547.20 / $16,547.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,778.46 / $13,778.46 / $13,778.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.43 / $1,186.20 / $2,230.60