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Arizona rates for HCPCS 21206

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.27 / $998.63 / $6,124.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.60 / $1,161.82 / $1,452.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.65 / $1,299.75 / $2,216.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.11 / $1,247.47 / $10,915.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.57 / $1,177.52 / $2,247.75