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Nevada 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
$1,548.82 / $4,365.16 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $660.69 / $1,288.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,128.31 / $8,128.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $851.14 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $851.14 / $1,230.27
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $724.44 / $4,897.79
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $6,165.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,548.13 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $758.58 / $1,096.48