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Alaska rates for HCPCS 21345

Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $11,709.00 / $20,143.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.84 / $3,149.55 / $3,859.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,553.71 / $2,072.35 / $3,484.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.75 / $3,149.55 / $5,403.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.65 / $2,355.15 / $4,732.64
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,432.50 / $3,459.30 / $4,480.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.82 / $3,280.95 / $5,403.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.06 / $3,305.75 / $4,504.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,013.76 / $3,524.08 / $4,430.27