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Arizona 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
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.17 / $1,044.47 / $5,357.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.67 / $1,233.91 / $1,542.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.69 / $1,274.33 / $1,994.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$992.30 / $1,334.91 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.23 / $1,174.49 / $10,228.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,455.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.03 / $1,088.40 / $1,999.54