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Nationwide rates for HCPCS 21422

Open Treatment Palatal/Maxillary Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$959.39 / $4,487.00 / $8,572.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.10 / $656.46 / $1,031.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,363.00 / $12,538.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.16 / $811.40 / $1,256.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.09 / $713.09 / $842.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.05 / $931.79 / $1,413.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $6,231.00 / $11,869.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.10 / $825.84 / $1,428.51