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Alaska rates for HCPCS 21433

Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,009.14 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.46 / $8,495.70 / $8,495.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,289.07 / $5,810.16 / $7,400.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,630.89 / $8,495.70 / $11,893.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,231.72 / $5,078.07 / $10,309.01
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,271.25 / $8,687.71 / $10,372.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,630.89 / $8,495.70 / $11,893.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,584.62 / $8,543.70 / $11,039.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,630.14 / $9,296.24 / $10,225.86