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Rhode Island rates for HCPCS 21206

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,174.90 / $2,630.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,000.00 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,584.89 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,412.54 / $2,511.89