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Open Repair Of Midface Separation Fracture

South Dakota rates for HCPCS 21432

Open surgery to repair a severe facial fracture in which the whole midface has been separated from the base of the skull. The surgeon exposes the broken bones, moves them back into their correct position and holds them there with wires or small fixation devices. Restoring the position of the bones brings the bite back together and returns the face to its normal shape.

Facilitymedian $1,122 · 10th–90th $724$4,3650%20%10th90th$1,122Professionalmedian $933 · 10th–90th $661$1,7780%10%20%10th90th$933$1.0K$2.0K$5.0K$10.0K

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
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,659.59
Typical High
$2,089.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,174.90
Typical High
$1,659.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,288.25
Typical High
$6,760.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,621.81
Typical High
$1,621.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,513.56
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,122.02
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,174.90
Typical High
$1,949.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,698.24
Typical High
$1,698.24