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New York 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
$1,394.01 / $5,157.00 / $11,396.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.68 / $1,237.01 / $2,095.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,079.00 / $7,359.00 / $12,869.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.75 / $1,140.85 / $2,714.72
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,528.95 / $1,528.95 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.95 / $1,528.95 / $1,528.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,243.70 / $1,243.70 / $1,243.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.00 / $1,752.95 / $3,902.70
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,583.00 / $2,838.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.07 / $1,655.67 / $2,434.44
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.67 / $1,023.67 / $1,023.67
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.98 / $1,117.56 / $2,319.30
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $1,243.70
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.30 / $1,664.50 / $3,762.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,963.00 / $14,457.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.11 / $1,327.00 / $3,133.92
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.78 / $1,314.78 / $5,321.88
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.03 / $1,426.58 / $2,779.23