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Maryland 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
Professional
Modifier
Low / Median / High Price
$588.84 / $758.58 / $1,819.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $691.83 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,000.00 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $891.25 / $1,778.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $954.99 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $436.52 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $812.83 / $1,479.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,000.00 / $1,288.25