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Washington, DC 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
$1,017.00 / $4,100.00 / $6,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.07 / $732.07 / $732.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.21 / $839.62 / $5,899.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.07 / $1,021.37 / $1,969.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.30 / $1,601.81 / $1,601.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.96 / $907.40 / $1,939.36