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Idaho 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
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.99 / $1,645.18 / $2,257.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.41 / $1,644.22 / $1,912.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.59 / $2,061.23 / $2,731.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.20 / $1,920.22 / $2,586.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,525.96 / $1,919.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,072.74 / $7,629.08 / $12,587.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,866.13 / $2,195.44 / $2,586.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.11 / $1,646.71 / $2,451.89