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Wisconsin rates for HCPCS 21206

Osteotomy Maxilla Segmental

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.01 / $982.67 / $5,371.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.25 / $2,221.79 / $6,346.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.14 / $3,907.40 / $4,440.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.04 / $2,373.36 / $10,915.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.64 / $585.75 / $1,836.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,915.55 / $2,334.02 / $3,671.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.10 / $5,619.05 / $10,915.46
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,086.95 / $6,176.50 / $6,218.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.23 / $2,373.36 / $5,113.34