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Florida 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
$1,047.13 / $5,128.61 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $660.69 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,380.38 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $794.33 / $1,348.96
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $12,022.64 / $22,908.68
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $501.19 / $724.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $436.52 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $5,623.41 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $660.69 / $1,148.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $501.19 / $676.08