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Pennsylvania rates for HCPCS 21206

Osteotomy Maxilla Segmental

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.67 / $992.84 / $1,691.62
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.60 / $1,012.42 / $1,012.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.65 / $1,282.43 / $2,210.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.26 / $1,504.00 / $1,960.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.47 / $1,253.69 / $4,769.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.30 / $1,123.30 / $2,462.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.65 / $1,287.04 / $2,255.85
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.84 / $949.62 / $1,203.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.01 / $1,323.72 / $2,201.26