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New York 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
$1,122.02 / $4,168.69 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $912.01 / $2,089.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $7,762.47 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $891.25 / $2,089.30
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $37,153.52
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,348.96 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,174.90 / $3,311.31
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $2,818.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,148.15 / $1,659.59
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,047.13 / $1,659.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $1,023.29 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,888.44 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $2,290.87
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $954.99 / $3,715.35
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,000.00 / $2,398.83