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Maryland rates for HCPCS 21206

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.47 / $997.92 / $1,335.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.91 / $1,076.69 / $1,590.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.08 / $1,397.36 / $2,531.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.71 / $1,302.53 / $1,707.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.49 / $1,248.21 / $2,288.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.71 / $1,161.17 / $1,446.56