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Iowa 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
$2,187.76 / $4,786.30 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,479.11 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,235.94 / $4,073.80
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,949.84 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,019.95 / $10,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,570.40 / $10,964.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,235.94 / $3,801.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $10,964.78 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,995.26 / $3,801.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,754.23 / $3,235.94