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Texas rates for HCPCS 21199

Osteotomy, mandible, segmental; with genioglossus advancement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.36 / $3,682.00 / $12,826.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.19 / $1,045.65 / $1,705.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,165.24 / $7,421.31 / $14,745.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.88 / $1,129.96 / $1,559.15
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $888.18 / $902.83
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
$1,042.41 / $1,376.17 / $2,105.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $16,547.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,778.46 / $13,778.46 / $13,778.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.91 / $1,269.56 / $2,125.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.66 / $1,485.20 / $1,841.64
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.70 / $1,137.70 / $1,137.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.87 / $1,270.43 / $2,365.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.28 / $1,433.40 / $2,150.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.45 / $1,117.93 / $1,755.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.05 / $964.82 / $1,339.24