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Nationwide rates for HCPCS 21422

Open treatment of palatal or maxillary fracture (LeFort I type);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $5,128.61 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $676.08 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $9,772.37 / $17,782.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $851.14 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $1,698.24 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $954.99 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $7,079.46 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $758.58 / $1,412.54