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Delaware 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
$2,060.00 / $2,060.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.27 / $717.27 / $841.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.30 / $849.21 / $1,452.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.09 / $882.84 / $1,744.16