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Iowa 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
$4,146.00 / $5,091.00 / $7,120.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.36 / $1,107.95 / $1,110.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.00 / $1,614.30 / $2,017.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.34 / $982.22 / $2,227.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.45 / $1,634.89 / $7,379.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.95 / $1,389.91 / $5,175.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,279.00 / $1,524.02 / $2,138.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.00 / $1,524.02 / $2,138.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,060.00 / $11,869.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.59 / $1,227.58 / $2,172.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.59 / $1,343.80 / $1,581.00