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Delaware rates for HCPCS 21421

Closed Tx Palatal/Maxillary Fx W/Fixation/Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,816.00 / $5,816.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.25 / $590.71 / $655.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.91 / $1,529.91 / $1,529.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.16 / $660.16 / $1,257.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $1,485.00 / $1,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.86 / $676.63 / $1,520.89