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Minnesota 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
$1,394.94 / $1,394.94 / $6,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.75 / $1,408.67 / $2,212.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,184.29 / $7,625.82 / $12,629.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,449.64 / $3,925.62 / $4,952.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,372.37 / $4,784.91 / $11,510.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,532.44 / $4,034.11 / $5,991.27
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,065.79 / $4,374.55 / $9,063.58
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,292.79 / $3,606.77 / $5,494.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,419.68 / $2,376.58 / $4,103.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,515.51 / $2,645.17 / $5,611.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $7,872.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,515.51 / $2,671.33 / $5,567.66