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Kentucky rates for HCPCS 21421

Closed Tx Palatal/Maxillary Fx W/Fixation/Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.36 / $662.79 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.25 / $578.14 / $818.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $3,967.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.70 / $530.99 / $839.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.77 / $692.57 / $798.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.56 / $692.57 / $1,113.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.58 / $910.23 / $910.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.00 / $841.63 / $1,437.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $753.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,723.00 / $6,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.94 / $821.06 / $1,340.44