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Kansas 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
$2,757.00 / $6,071.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.63 / $698.30 / $1,111.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.53 / $1,130.04 / $1,130.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.15 / $907.35 / $1,439.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.08 / $995.43 / $4,960.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.68 / $873.71 / $5,175.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.90 / $820.94 / $1,181.48