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Arizona 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
$1,965.00 / $4,521.00 / $9,112.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.16 / $729.28 / $1,279.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $4,934.39 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.30 / $955.66 / $1,081.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.73 / $857.42 / $1,398.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.69 / $844.43 / $2,086.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.04 / $922.57 / $6,724.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.00 / $2,567.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.13 / $805.32 / $1,587.41