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Minnesota 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
$794.33 / $794.33 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $831.76 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,897.79 / $11,748.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,905.46 / $2,884.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,884.03 / $6,918.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,344.23 / $3,467.37
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,754.23 / $5,370.32
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,949.84 / $3,090.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,548.82 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,479.11 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $7,943.28 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,412.54 / $2,754.23