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Alaska rates for HCPCS 21435

Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation techniques (eg, head cap, halo device, and/or intermaxillary fixation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,044.50 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.32 / $6,859.62 / $6,859.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,453.96 / $4,663.97 / $6,019.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.27 / $6,859.62 / $9,603.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,445.70 / $4,134.84 / $8,394.17
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,041.25 / $6,927.40 / $8,444.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.27 / $6,859.62 / $9,603.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.12 / $6,380.50 / $8,905.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,713.80 / $6,529.57 / $8,208.60