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Arizona 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
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.17 / $1,079.99 / $5,664.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.22 / $1,296.26 / $1,620.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.94 / $1,352.29 / $2,130.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.46 / $1,397.27 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.10 / $1,240.11 / $10,299.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,455.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.16 / $1,147.42 / $2,109.82