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California rates for HCPCS 21206

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.01 / $1,135.43 / $6,124.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.20 / $1,636.70 / $3,185.04
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.10 / $1,250.47 / $2,755.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.24 / $1,443.61 / $3,116.93
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.90 / $1,251.65 / $2,112.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.38 / $1,277.10 / $2,280.85
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,915.46 / $10,915.46 / $10,915.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.24 / $1,471.19 / $2,887.44
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,799.83 / $3,799.83 / $3,799.83
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.24 / $1,263.99 / $2,112.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.84 / $1,185.11 / $2,565.42