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Colorado 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
$2,551.00 / $6,028.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.87 / $1,090.27 / $1,516.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,834.00 / $18,248.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.83 / $1,544.34 / $2,476.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.64 / $1,512.96 / $2,147.01
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.27 / $1,482.91 / $1,940.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.43 / $1,565.25 / $2,158.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,251.00 / $11,924.00 / $19,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.95 / $1,592.52 / $2,421.67