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Iowa 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
$1,000.00 / $5,248.07 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $724.44 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,479.11 / $1,862.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $891.25 / $2,754.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,659.59 / $14,454.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,258.93 / $5,623.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,513.56 / $1,698.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,348.96 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $10,964.78 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $933.25 / $1,819.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,230.27 / $1,445.44