go back

Illinois 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
$1,202.26 / $3,548.13 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,479.11 / $3,090.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $9,120.11 / $30,902.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,819.70 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,905.46 / $2,818.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,398.83 / $7,762.47
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,778.28 / $1,995.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $6,025.60 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,621.81 / $2,884.03