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Kentucky 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
$663.90 / $865.64 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.90 / $764.80 / $865.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,720.89 / $10,099.00 / $25,551.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.07 / $769.15 / $1,090.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.85 / $1,020.00 / $1,210.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.03 / $1,010.80 / $1,457.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.37 / $895.74 / $895.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.08 / $1,054.29 / $1,495.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $947.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.27 / $1,022.39 / $1,530.81