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Missouri rates for HCPCS 21206

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.29 / $980.15 / $1,560.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.64 / $1,344.70 / $1,969.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.37 / $1,454.52 / $2,414.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.30 / $1,587.07 / $10,915.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.26 / $1,456.12 / $2,346.92