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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
$2,283.78 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.27 / $841.29 / $3,873.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,978.39 / $2,534.05 / $3,426.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.54 / $3,873.38 / $5,422.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,947.25 / $2,336.69 / $4,743.76
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,777.50 / $3,790.88 / $4,790.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.54 / $3,873.38 / $5,422.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.50 / $3,746.80 / $4,978.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,027.24 / $4,054.48 / $4,459.93