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Florida 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
$878.91 / $3,836.00 / $12,173.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.17 / $1,040.36 / $1,372.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.51 / $1,334.90 / $2,162.21
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,139.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.99 / $928.81 / $1,129.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.66 / $753.34 / $1,325.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.51 / $1,091.89 / $1,956.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.70 / $800.70 / $1,013.19