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Alaska rates for HCPCS 21348

Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $10,000.00 / $20,417.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,380.38 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,630.78 / $4,677.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,819.70 / $7,585.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,630.78 / $5,495.41
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,466.84 / $6,606.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,778.28 / $6,025.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,479.11 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $5,011.87 / $6,456.54