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Rhode Island 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
$2,993.72 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.58 / $1,017.16 / $1,186.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.83 / $950.64 / $1,605.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.25 / $1,322.84 / $1,633.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.89 / $1,095.38 / $1,821.15