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New York 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)

Facilitymedian $5,623 · 10th–90th $1,820–$12,0230%10%10th90th$5,623Professionalmedian $1,585 · 10th–90th $1,175–$3,8900%20%10th90th$1,585$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $4,168.69 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,548.82 / $3,715.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,762.47 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,445.44 / $3,311.31
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $37,153.52
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $2,398.83 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,089.30 / $6,165.95
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,548.82 / $4,897.79
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,041.74 / $2,884.03
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,318.26
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,862.09 / $2,951.21
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,862.09 / $3,090.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $5,495.41 / $12,589.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,905.46 / $5,495.41
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,659.59 / $5,623.41
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,737.80 / $3,890.45