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Ohio 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
$1,212.99 / $6,064.00 / $11,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.62 / $1,056.52 / $2,604.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,003.00 / $4,426.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.68 / $1,196.44 / $1,874.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.69 / $990.20 / $1,441.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.22 / $1,067.86 / $1,359.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.60 / $1,386.26 / $2,050.87
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.55 / $1,166.55 / $1,166.55
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.40 / $1,461.57 / $2,039.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.98 / $709.85 / $1,250.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,231.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.77 / $1,299.55 / $2,070.51