go back

Alaska rates for HCPCS 21423

Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $10,000.00 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,511.89 / $3,388.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,258.93 / $5,370.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,691.53 / $3,981.07
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,235.94 / $4,570.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,202.26 / $4,265.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,047.13 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $3,467.37 / $4,466.84