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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
$1,148.15 / $4,897.79 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,122.02 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $398.11 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,412.54 / $2,344.23
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $20,892.96 / $33,113.11
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $776.25 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $10,232.93 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,174.90 / $2,089.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,122.02