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Delaware rates for HCPCS 21422

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

Facilitymedian $6,607 · 10th–90th $1,622–$27,5420%20%40%10th90th$6,607Professionalmedian $661 · 10th–90th $575–$1,5850%20%10th90th$661$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $6,606.93 / $27,542.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $660.69 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $707.95 / $1,230.27
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $10,715.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $2,511.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $676.08 / $1,000.00