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New York rates for HCPCS 21421

Closed Tx Palatal/Maxillary Fx W/Fixation/Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.06 / $4,039.00 / $10,170.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.78 / $721.77 / $1,286.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.04 / $747.64 / $1,688.29
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.59 / $2,390.00 / $10,957.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.59 / $797.59 / $948.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.23 / $910.23 / $910.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.46 / $996.08 / $2,335.08
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $640.00 / $1,418.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.94 / $982.00 / $1,440.78
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.22 / $606.22 / $606.22
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.98 / $772.10 / $1,362.01
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $910.23
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.65 / $1,002.56 / $2,363.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,062.00 / $5,299.00 / $9,783.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.91 / $829.90 / $2,046.15
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.25 / $653.25 / $1,775.00
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.54 / $844.83 / $1,388.75