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Arizona 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
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.46 / $1,295.76 / $7,416.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.90 / $1,671.88 / $2,089.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.32 / $1,628.62 / $2,698.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.35 / $1,752.52 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.72 / $1,467.72 / $10,906.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,455.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.26 / $1,386.18 / $2,698.17