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Mississippi rates for HCPCS 21421

Closed Tx Palatal/Maxillary Fx W/Fixation/Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.91 / $1,140.00 / $1,836.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.92 / $721.77 / $1,228.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,371.58 / $1,371.58 / $1,371.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.00 / $1,029.00 / $1,029.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.60 / $1,442.59 / $6,486.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.25 / $977.21 / $1,434.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.00 / $2,781.00 / $6,612.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.60 / $798.55 / $1,688.79