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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
$3,219.68 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.09 / $5,460.70 / $5,460.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,713.52 / $3,639.75 / $4,703.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.11 / $5,460.70 / $7,644.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,666.98 / $3,200.37 / $6,497.06
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,881.25 / $5,344.04 / $6,606.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.11 / $5,460.70 / $7,644.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,665.59 / $5,281.90 / $6,946.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.15 / $4,990.62 / $6,405.96