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Kentucky 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
$562.34 / $1,949.84 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $630.96 / $1,047.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,073.80 / $9,549.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $549.54 / $794.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $660.69 / $870.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $912.01 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $954.99 / $3,019.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,754.23 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $741.31 / $1,230.27