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Kentucky 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
$571.09 / $787.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.09 / $656.34 / $792.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,559.00 / $10,099.00 / $25,551.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.53 / $588.87 / $931.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.82 / $876.88 / $1,011.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.25 / $876.88 / $1,252.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.14 / $778.94 / $778.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.24 / $921.30 / $1,369.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $814.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.08 / $861.37 / $1,312.84