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Wisconsin rates for HCPCS 21199

Osteotomy Mandible Sgmtl W/Genioglossus Advmnt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.84 / $2,106.44 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.49 / $1,006.84 / $4,871.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,975.00 / $13,919.00 / $24,485.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.04 / $2,323.48 / $6,474.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,995.29 / $5,995.29 / $5,995.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,650.19 / $3,096.96 / $4,750.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,481.37 / $4,076.72 / $4,632.64
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.11 / $1,444.86 / $2,340.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.84 / $2,106.44 / $13,250.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.80 / $2,048.35 / $13,778.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.64 / $605.97 / $1,910.01
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.11 / $1,425.68 / $2,340.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.65 / $2,424.31 / $3,619.02
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,994.41 / $5,994.41 / $16,547.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,964.55 / $5,095.39 / $13,778.46
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,343.38 / $3,343.38 / $3,343.38
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,968.24 / $5,164.89 / $6,487.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.83 / $2,017.88 / $4,636.81