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Idaho rates for HCPCS 21206

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.15 / $1,721.10 / $2,024.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.61 / $1,597.58 / $1,926.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,572.86 / $1,715.85 / $2,310.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,379.45 / $1,735.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,642.92 / $1,932.85 / $2,310.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.95 / $1,744.76 / $2,657.52