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Texas 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
$1,071.52 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,148.15 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,778.28 / $6,918.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $1,659.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $912.01 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,380.38 / $2,344.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $9,549.93
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,232.93 / $10,232.93 / $10,232.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,479.11 / $4,265.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,258.93 / $1,737.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $134.90 / $870.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,905.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $2,344.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,380.38 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,760.83 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $1,778.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $954.99 / $954.99