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Delaware 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
$6,316.00 / $6,316.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.15 / $1,050.97 / $1,050.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.89 / $1,118.20 / $2,046.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.18 / $1,288.94 / $2,301.37