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North Carolina 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
$1,023.23 / $1,778.59 / $12,615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.23 / $1,085.43 / $2,057.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.07 / $1,737.07 / $1,737.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.72 / $2,014.10 / $2,738.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.91 / $1,514.85 / $2,744.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.23 / $1,325.74 / $2,312.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.74 / $1,421.00 / $1,421.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,359.30 / $3,036.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.73 / $1,400.36 / $2,810.28
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $9,518.56 / $9,518.56
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,228.59 / $10,228.59 / $10,228.59