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Indiana 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
$1,028.77 / $2,318.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.24 / $1,028.77 / $1,388.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,838.00 / $17,380.30 / $25,253.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.10 / $973.07 / $1,381.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$992.30 / $1,289.99 / $1,488.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.30 / $1,159.43 / $1,488.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.42 / $1,391.87 / $2,464.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.04 / $1,218.32 / $2,182.07