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Ohio rates for HCPCS 21206

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.44 / $979.67 / $1,921.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.56 / $1,358.98 / $3,043.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.64 / $1,011.22 / $1,287.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.55 / $1,424.90 / $2,129.66
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.55 / $1,426.85 / $2,129.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.15 / $694.87 / $1,170.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.81 / $1,349.63 / $2,274.51