go back

Hawaii 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
$1,924.00 / $2,747.00 / $5,484.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,715.19 / $1,715.19 / $1,715.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,681.74 / $2,158.15 / $2,589.78
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,276.85 / $2,491.77 / $2,941.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,899.17 / $2,071.82 / $2,417.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.05 / $2,158.15 / $2,806.35
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,829.02 / $2,343.03