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California 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
$4,466.84 / $10,232.93 / $23,988.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $812.83 / $3,548.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,128.31 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,949.84
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $2,951.21 / $16,982.44
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $977.24 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $912.01 / $1,698.24
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $724.44 / $1,202.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $870.96 / $1,548.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $33,884.42 / $33,884.42
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $6,760.83 / $6,760.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $1,148.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $977.24 / $1,513.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $1,778.28
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,570.40
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $537.03 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,265.80 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $741.31 / $1,479.11