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Alaska rates for HCPCS 21347

Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,988.48 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.76 / $5,068.57 / $5,068.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,526.67 / $3,322.34 / $4,497.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.16 / $5,068.57 / $7,096.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,535.98 / $3,043.17 / $6,177.92
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,628.75 / $5,000.04 / $6,240.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.16 / $5,068.57 / $7,096.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.00 / $4,941.89 / $6,544.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,455.37 / $4,009.69 / $5,847.34