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Tennessee 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
$1,539.86 / $3,349.44 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.91 / $1,775.69 / $2,778.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,813.00 / $5,467.00 / $9,272.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,684.56 / $2,284.16 / $3,617.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,784.33 / $2,416.19 / $3,651.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $15,794.00 / $16,103.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,470.88 / $12,714.80 / $14,731.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.46 / $2,059.91 / $3,586.24