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Kentucky rates for HCPCS 21206

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.84 / $961.91 / $1,163.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.87 / $1,045.36 / $1,624.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.80 / $1,250.61 / $1,799.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.94 / $1,461.22 / $2,299.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,169.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.61 / $1,382.72 / $2,231.81