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Nationwide rates for HCPCS 21421

Closed treatment of palatal or maxillary fracture (LeFort I type), with interdental wire fixation or fixation of denture or splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $4,466.84 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $676.08 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $7,585.78 / $14,791.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $776.25 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,548.82 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $912.01 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $4,265.80 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $741.31 / $1,380.38