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Vermont rates for HCPCS 21206

Osteotomy Maxilla Segmental

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.71 / $1,482.65 / $1,482.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.54 / $1,759.91 / $2,610.36
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.54 / $1,713.06 / $2,610.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.85 / $1,639.53 / $4,304.16