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Alabama rates for HCPCS 21431

Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,525.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.76 / $704.86 / $1,104.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,931.14 / $7,197.72 / $9,683.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.93 / $941.00 / $1,133.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.16 / $907.36 / $2,506.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.00 / $3,816.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.17 / $666.48 / $1,132.97