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North Carolina 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
$1,073.49 / $1,849.00 / $12,615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.49 / $1,108.54 / $2,169.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.59 / $1,794.10 / $2,913.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.05 / $1,585.43 / $2,950.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.49 / $1,402.67 / $2,311.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.67 / $1,503.00 / $1,503.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,413.30 / $2,936.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.69 / $1,415.04 / $2,901.50
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $9,996.79 / $9,996.79
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,299.59 / $10,299.59 / $10,299.59