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Indiana rates for HCPCS 21346

Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.59 / $2,318.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.87 / $963.59 / $1,300.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,852.40 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.28 / $976.90 / $1,348.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.71 / $1,183.92 / $1,366.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.71 / $1,044.71 / $1,366.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.34 / $1,155.63 / $1,975.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.27 / $1,038.30 / $1,909.74