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New York 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
$1,336.33 / $5,157.00 / $11,396.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.56 / $1,166.09 / $1,993.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.10 / $1,066.81 / $2,578.62
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,458.34 / $1,458.34 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.34 / $1,458.34 / $1,458.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.55 / $1,166.55 / $1,166.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.77 / $1,673.93 / $3,832.13
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,272.00 / $2,707.34
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.98 / $1,579.01 / $2,322.29
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.22 / $971.22 / $971.22
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.13 / $1,242.83 / $2,192.40
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $1,166.55
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.11 / $1,549.91 / $3,688.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,963.00 / $14,457.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.03 / $1,287.94 / $3,053.02
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,242.83 / $1,242.83 / $5,258.03
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.38 / $1,353.49 / $2,627.16