go back

Vermont rates for HCPCS 21421

Closed Tx Palatal/Maxillary Fx W/Fixation/Splint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.57 / $780.58 / $920.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,520.64 / $4,520.64 / $5,789.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.40 / $1,069.84 / $1,533.09
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.65 / $1,069.96 / $1,533.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.18 / $962.91 / $2,799.24