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Florida rates for HCPCS 21421

Closed Tx Palatal/Maxillary Fx W/Fixation/Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.50 / $3,279.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.08 / $631.16 / $847.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.00 / $1,389.94 / $1,654.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.33 / $781.96 / $1,326.82
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.86 / $496.70 / $725.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.37 / $446.16 / $815.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,954.00 / $5,887.00 / $10,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.55 / $702.00 / $1,287.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.07 / $499.41 / $499.41