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Iowa 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
$4,693.00 / $5,549.00 / $7,943.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.23 / $1,657.29 / $1,715.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,026.00 / $2,367.67 / $2,959.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.73 / $1,490.06 / $3,923.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,457.54 / $2,568.80 / $11,869.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.43 / $2,085.21 / $10,228.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,923.73 / $2,321.19 / $3,035.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.00 / $2,282.38 / $3,035.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,060.00 / $11,869.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.19 / $1,612.67 / $3,140.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.88 / $2,012.50 / $2,367.69