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California 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
$2,421.00 / $8,870.00 / $19,368.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.64 / $1,146.68 / $5,664.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,314.00 / $10,474.00 / $21,865.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.31 / $1,615.40 / $3,055.43
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.40 / $100.00 / $5,714.18
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.03 / $1,314.24 / $2,874.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.53 / $1,420.36 / $3,089.52
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.75 / $704.81 / $1,558.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.11 / $1,409.89 / $2,522.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $9,996.79 / $10,271.36
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,299.59 / $10,299.59 / $10,299.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.68 / $1,451.50 / $2,155.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.79 / $1,484.87 / $2,922.13
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,514.99 / $3,514.99 / $3,514.99
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.47 / $998.49 / $1,384.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,830.00 / $12,341.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.96 / $1,181.54 / $2,396.69