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Indiana rates for HCPCS 21206

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.27 / $931.86 / $1,239.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.44 / $1,185.20 / $1,635.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.75 / $1,076.09 / $1,345.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.52 / $1,310.23 / $2,385.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.46 / $1,240.48 / $2,263.88