go back

Massachusetts rates for HCPCS 21206

Osteotomy Maxilla Segmental

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.25 / $1,163.59 / $1,957.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.19 / $1,884.45 / $10,915.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.56 / $1,799.59 / $3,294.86
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.17 / $1,356.89 / $1,844.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.08 / $2,392.94 / $3,156.66
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.56 / $2,049.02 / $10,915.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.52 / $1,647.83 / $3,256.97