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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
$2,757.00 / $6,071.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.27 / $806.27 / $1,262.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.75 / $1,418.53 / $1,418.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.11 / $1,099.46 / $1,663.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.24 / $1,160.22 / $4,960.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.41 / $996.38 / $6,581.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.41 / $912.75 / $1,325.56