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Florida 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
$949.70 / $3,836.00 / $12,173.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.17 / $1,082.56 / $1,457.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.44 / $1,430.01 / $2,276.55
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.13 / $1,019.01 / $1,251.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.06 / $807.71 / $1,420.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.39 / $1,177.36 / $2,072.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.06 / $842.06 / $1,079.57