go back

New York rates for HCPCS 21206

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,230.27 / $2,691.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,230.27 / $3,019.95
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,737.80 / $4,466.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,380.38 / $1,949.84
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,288.25 / $2,041.74
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $1,513.56 / $2,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,318.26 / $3,311.31
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,230.27 / $3,090.30