go back

Idaho 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
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.83 / $2,408.90 / $3,534.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,944.60 / $2,611.00 / $3,047.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,648.77 / $3,104.67 / $4,241.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,792.94 / $3,046.84 / $4,038.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,395.54 / $3,013.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,072.74 / $7,629.08 / $12,587.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,938.00 / $3,456.47 / $4,038.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,898.92 / $2,474.98 / $3,693.21