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Minnesota 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
$1,096.48 / $1,096.48 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,122.02 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $6,025.60 / $12,302.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,570.40 / $3,981.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,981.07 / $9,549.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $3,162.28 / $4,786.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,801.89 / $7,413.10
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,691.53 / $4,265.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,137.96 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $2,137.96 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,754.40 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,089.30 / $3,890.45