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Florida 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
$596.11 / $3,836.00 / $12,173.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.33 / $624.82 / $829.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.80 / $809.06 / $1,321.45
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.27 / $590.23 / $738.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.34 / $455.83 / $796.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.16 / $685.32 / $1,238.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.46 / $489.46 / $621.29