go back

Pennsylvania rates for HCPCS 21431

Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint

Facilitymedian $5,370 · 10th–90th $1,288–$8,5110%10%10th90th$5,370Professionalmedian $741 · 10th–90th $631–$1,3180%50%10th90th$741$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $5,370.32 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $724.44 / $1,202.26
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $831.76 / $1,412.54
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,047.13 / $1,318.26
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $831.76 / $1,174.90
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $4,265.80 / $8,511.38
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $724.44 / $1,513.56
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $977.24 / $1,584.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $676.08 / $676.08
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $676.08 / $724.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $5,754.40 / $19,054.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $794.33 / $1,380.38