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North Carolina 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
$1,373.02 / $1,933.99 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.32 / $1,442.09 / $2,563.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,481.37 / $2,047.88 / $3,687.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.40 / $1,913.29 / $3,272.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.02 / $1,646.32 / $2,669.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,587.00 / $1,587.00 / $1,810.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,833.40 / $3,678.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.51 / $1,618.51 / $3,439.25
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $12,869.28 / $12,869.28
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,906.00 / $10,906.00 / $11,997.68