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Maine 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
$717.27 / $822.35 / $971.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,491.08 / $26,019.37 / $30,263.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.50 / $1,082.53 / $1,522.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.90 / $1,180.73 / $1,731.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.58 / $1,148.42 / $1,761.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.78 / $971.74 / $1,484.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.32 / $1,145.01 / $1,588.45