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Tennessee 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
$1,256.00 / $2,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.64 / $1,113.97 / $1,788.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.00 / $5,486.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.05 / $1,524.67 / $2,383.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.36 / $1,556.41 / $2,271.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $9,996.79 / $10,271.36
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,299.59 / $10,299.59 / $10,299.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.11 / $1,334.41 / $2,336.04