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Alabama rates for HCPCS 21422

Open Treatment Palatal/Maxillary Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.07 / $1,613.00 / $2,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.69 / $624.82 / $997.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.56 / $6,380.30 / $8,583.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.12 / $844.00 / $1,035.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.60 / $784.43 / $2,297.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,121.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.39 / $632.55 / $1,084.10