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Vermont rates for HCPCS 21206

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,288.25 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,584.89 / $2,630.27
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,621.81 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,621.81 / $4,265.80