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Indiana 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
$602.07 / $1,386.00 / $17,225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.71 / $729.28 / $837.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $8,240.00 / $17,829.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.78 / $654.38 / $903.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.85 / $760.31 / $997.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.30 / $873.96 / $1,092.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.00 / $881.00 / $1,044.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.27 / $864.38 / $1,388.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,874.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.83 / $824.36 / $1,514.14