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Indiana 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
$1,184.96 / $2,318.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.83 / $1,187.72 / $1,608.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,852.40 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.89 / $1,477.80 / $2,039.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,173.21 / $1,610.29 / $2,415.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.21 / $1,380.25 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.79 / $1,584.41 / $2,584.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.47 / $1,356.07 / $2,472.34