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Maryland 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
Professional
Modifier
Low / Median / High Price
$691.83 / $831.76 / $2,041.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $954.99 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $977.24 / $1,819.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $851.14 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $851.14 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $891.25 / $1,584.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $912.01 / $1,174.90