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Virginia rates for HCPCS 21206

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.92 / $1,210.76 / $1,441.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.24 / $1,139.70 / $1,884.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.91 / $1,164.80 / $9,951.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.02 / $1,396.32 / $2,388.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.82 / $1,197.84 / $1,387.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.38 / $1,674.00 / $2,273.98
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.35 / $1,421.72 / $4,991.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.49 / $1,434.72 / $2,190.07