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Maryland 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
Professional
Modifier
Low / Median / High Price
$1,245.97 / $1,396.38 / $1,577.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.00 / $1,660.11 / $1,826.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.06 / $1,739.32 / $3,206.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,473.98 / $1,903.40 / $2,482.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.51 / $1,493.40 / $3,029.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.58 / $1,696.82 / $2,088.84