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Idaho 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
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.21 / $1,850.06 / $2,863.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.45 / $2,068.60 / $2,456.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,326.42 / $2,400.56 / $3,455.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,274.16 / $2,452.32 / $3,279.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,950.10 / $2,201.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,072.74 / $7,629.08 / $12,587.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,391.87 / $2,813.96 / $3,279.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.19 / $2,079.27 / $2,853.90