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Nevada 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
$616.60 / $4,365.16 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $676.08 / $1,122.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $4,073.80 / $5,888.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $794.33 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $794.33 / $1,148.15
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $794.33 / $1,412.54
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $2,344.23
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $660.69 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,344.23 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $741.31 / $1,071.52