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Mississippi rates for HCPCS 21422

Open Treatment Palatal/Maxillary Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.10 / $1,207.47 / $2,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.10 / $624.82 / $1,364.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.00 / $1,215.00 / $1,215.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.28 / $1,009.60 / $1,391.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $3,572.00 / $9,515.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.97 / $758.20 / $1,516.37