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Alaska rates for HCPCS 21206

Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.47 / $4,870.49 / $4,870.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,516.94 / $3,799.01 / $4,173.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,383.13 / $2,859.75 / $5,805.59
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,683.75 / $5,006.75 / $7,146.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.65 / $4,938.00 / $7,594.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,039.20 / $5,318.60 / $6,686.24