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Colorado 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
$955.50 / $5,428.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.27 / $797.82 / $1,039.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,834.00 / $18,248.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.93 / $1,129.02 / $1,810.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.25 / $1,066.23 / $1,527.99
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.82 / $1,049.07 / $1,420.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.91 / $1,145.38 / $1,579.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,251.00 / $11,924.00 / $19,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.08 / $1,101.99 / $1,873.39