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Iowa 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
$1,258.93 / $4,786.30 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $870.96 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,819.70 / $2,290.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,096.48 / $2,951.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,995.26 / $8,128.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,513.56 / $6,606.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,819.70 / $2,137.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,584.89 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $10,964.78 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,122.02 / $2,187.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,548.82 / $1,819.70