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Alaska rates for HCPCS 21366

Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,674.04 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.26 / $6,231.31 / $6,231.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,141.77 / $4,241.87 / $5,459.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.43 / $6,231.31 / $8,723.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,122.25 / $3,746.70 / $7,606.17
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,573.75 / $6,295.10 / $7,656.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.43 / $6,231.31 / $8,723.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.07 / $5,845.00 / $8,082.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.47 / $5,816.22 / $7,465.70