go back

Vermont 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 / $944.60 / $1,000.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.68 / $1,358.59 / $1,727.75
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.46 / $1,158.63 / $1,727.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.91 / $1,079.90 / $3,154.66