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Oregon 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
$1,412.54 / $1,819.70 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,258.93 / $1,949.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,412.54 / $1,698.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,122.02 / $1,819.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,288.25 / $1,778.28
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,380.38 / $1,412.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,096.48 / $1,584.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,348.96 / $1,862.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $13,489.63 / $21,877.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,445.44 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $17,782.79 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,380.38 / $1,862.09