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Iowa rates for HCPCS 21206

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.57 / $1,557.68 / $1,838.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,033.38 / $2,413.09 / $2,796.97
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.17 / $1,405.20 / $4,080.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.48 / $2,231.71 / $10,915.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,593.00 / $2,413.09 / $2,983.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.26 / $1,767.97 / $3,292.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.05 / $1,891.20 / $2,225.00