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Maine 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
Professional
Modifier
Low / Median / High Price
$1,597.97 / $1,809.59 / $2,209.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,491.08 / $26,019.37 / $30,263.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.15 / $2,343.84 / $3,302.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,753.10 / $2,635.67 / $3,730.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,157.04 / $2,495.69 / $3,828.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,597.97 / $2,209.57 / $3,212.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.70 / $2,315.55 / $3,425.22