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Nevada 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
$1,642.00 / $3,959.00 / $6,953.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.27 / $771.00 / $1,499.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,877.00 / $5,379.00 / $14,000.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.46 / $956.79 / $1,318.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.09 / $997.00 / $1,440.33
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.04 / $924.51 / $5,558.96
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $1,066.74 / $7,580.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.00 / $4,145.00 / $10,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.12 / $925.67 / $1,388.52