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Nevada rates for HCPCS 21422

Open Treatment Palatal/Maxillary Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.00 / $3,939.00 / $7,674.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.37 / $626.91 / $3,402.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,877.00 / $5,379.00 / $8,190.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.98 / $808.19 / $1,073.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.13 / $820.63 / $1,183.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $742.21 / $4,509.79
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,537.87 / $6,537.87 / $6,537.87
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $613.72 / $6,149.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.00 / $4,145.00 / $10,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.10 / $764.55 / $1,222.74