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Alabama rates for HCPCS 21421

Closed Tx Palatal/Maxillary Fx W/Fixation/Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.44 / $1,520.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.88 / $637.51 / $1,015.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,761.90 / $4,565.24 / $6,141.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.70 / $888.46 / $1,044.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.64 / $832.97 / $2,152.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.00 / $3,088.00 / $4,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.88 / $635.80 / $1,094.77