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Texas rates for HCPCS 21206

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.35 / $1,017.35 / $1,721.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.62 / $972.09 / $1,750.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.16 / $1,493.42 / $2,298.21
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,915.46 / $10,915.46 / $10,915.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.56 / $1,429.88 / $1,773.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.50 / $1,179.50 / $1,179.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.70 / $1,535.42 / $2,383.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.14 / $1,247.47 / $1,952.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.57 / $928.02 / $1,289.99