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Alaska rates for HCPCS 21421

Closed Tx Palatal/Maxillary Fx W/Fixation/Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,797.77 / $9,577.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.19 / $2,618.54 / $3,049.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.62 / $1,817.53 / $2,796.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.22 / $2,618.54 / $4,268.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.95 / $1,898.10 / $3,814.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,071.25 / $2,838.57 / $4,124.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.04 / $2,618.54 / $4,268.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.70 / $2,875.50 / $4,441.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.59 / $2,558.78 / $3,731.46