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Washington, DC 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
$1,462.28 / $4,100.00 / $6,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.28 / $1,462.28 / $1,462.28
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,587.15 / $1,660.11 / $6,846.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,396.41 / $1,831.84 / $3,894.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.56 / $3,214.11 / $3,214.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.96 / $1,864.94 / $3,891.41