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New York 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
$818.76 / $5,118.03 / $12,051.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.35 / $813.43 / $1,332.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.82 / $792.25 / $1,787.55
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.64 / $3,478.50 / $13,477.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.64 / $887.64 / $1,118.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.85 / $1,084.85 / $1,084.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.70 / $1,067.66 / $2,593.67
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $685.46 / $1,677.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.34 / $1,223.59 / $1,799.51
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.83 / $750.83 / $750.83
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.87 / $957.44 / $1,707.64
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $1,084.85
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.77 / $1,099.13 / $2,593.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.00 / $3,961.00 / $8,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.75 / $932.75 / $2,463.19
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.36 / $773.36 / $2,863.90
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.87 / $1,006.76 / $1,707.64