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North Carolina 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
$1,615.00 / $2,644.54 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.12 / $1,779.49 / $3,296.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,951.48 / $2,645.34 / $4,679.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.88 / $2,425.91 / $4,381.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.12 / $2,110.54 / $3,408.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,110.54 / $2,174.00 / $2,221.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $2,244.30 / $4,402.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.87 / $2,033.17 / $4,264.92
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $15,794.00 / $15,794.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,470.88 / $12,470.88 / $14,731.43