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Kansas 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
$1,698.24 / $5,623.41 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $831.76 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,096.48 / $1,659.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,202.26 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,000.00 / $6,606.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,168.69 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $933.25 / $1,288.25