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Georgia rates for HCPCS 21345

Closed Tx Nasomaxillary Complex Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.59 / $5,063.00 / $9,488.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.79 / $791.03 / $1,647.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.06 / $3,143.25 / $5,292.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.88 / $915.03 / $1,655.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,156.42 / $1,156.42 / $1,156.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.41 / $1,084.85 / $1,875.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.22 / $1,056.70 / $1,835.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.75 / $1,071.39 / $2,129.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $3,218.00 / $5,272.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.22 / $1,052.86 / $1,809.28