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Arizona 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
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.02 / $1,630.09 / $9,159.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,795.77 / $2,052.31 / $2,565.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.63 / $2,035.02 / $3,444.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,648.64 / $2,157.10 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.94 / $1,868.88 / $12,714.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,455.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.88 / $1,779.61 / $3,397.46