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Wisconsin rates for HCPCS 21432

Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,445.44 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $724.44 / $1,862.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,380.38 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,187.76 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $2,884.03 / $3,311.31
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,445.44 / $7,244.36
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,698.24 / $2,187.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,479.11 / $13,489.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,174.90 / $6,760.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,621.81 / $2,454.71
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $6,606.93 / $6,606.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $3,467.37 / $6,760.83
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,981.07 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,071.52 / $2,951.21