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Colorado 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
$984.10 / $5,503.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.59 / $637.34 / $912.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.97 / $893.30 / $1,432.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.52 / $894.04 / $1,281.23
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.34 / $879.89 / $1,147.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.13 / $914.99 / $1,262.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,251.00 / $11,924.00 / $19,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.71 / $922.50 / $1,428.51