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Ohio 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
$1,925.00 / $6,021.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.73 / $1,355.53 / $2,719.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,142.00 / $14,428.74 / $24,745.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.87 / $1,396.33 / $2,209.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,242.22 / $1,355.15 / $1,973.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.27 / $1,461.44 / $1,860.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.79 / $1,860.02 / $2,587.03
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,585.02 / $1,585.02 / $1,585.02
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.01 / $1,905.60 / $2,551.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.74 / $990.91 / $1,678.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,231.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.53 / $1,704.32 / $2,865.88