go back

North Carolina rates for HCPCS 21345

Closed Tx Nasomaxillary Complex Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.35 / $1,213.33 / $12,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.35 / $782.03 / $1,267.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.50 / $1,122.22 / $1,956.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.25 / $1,128.25 / $1,182.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.42 / $995.66 / $1,866.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.35 / $938.44 / $1,473.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.09 / $1,002.00 / $1,207.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $1,059.09 / $2,167.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,733.00 / $6,543.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.02 / $911.66 / $2,072.59
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,428.30 / $4,428.30 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,995.00 / $6,724.95 / $6,797.78