go back

Illinois rates for HCPCS 21206

Osteotomy Maxilla Segmental

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.08 / $997.92 / $2,107.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,070.00 / $5,070.00 / $5,070.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.71 / $1,405.20 / $2,327.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.79 / $1,625.65 / $5,581.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.11 / $1,217.83 / $1,320.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,493.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.26 / $1,470.68 / $2,622.76