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Repair of Severe Midface Fracture With Fixation

Washington rates for HCPCS 21435

Surgery for a severe facial break in which the midface has been separated from the skull. The bones are moved back into their correct position and held there with fixation, which may combine plates or wires inside the face with an external appliance or frame, until the fragments knit together.

Facilitymedian $3,467 · 10th–90th $1,660$19,4980%10%10th90th$3,467Professionalmedian $1,905 · 10th–90th $1,175$3,8020%10%20%10th90th$1,905$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
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$8,128.31
Typical High
$20,892.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,778.28
Typical High
$3,467.37
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$14,791.08
Typical High
$28,840.32
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,754.23
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,290.87
Typical High
$4,168.69
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,818.38
Typical High
$9,120.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,754.23
Typical High
$6,918.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$91.20
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,754.23
Typical High
$2,818.38
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,949.84
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,818.38
Typical High
$3,715.35
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$14,791.08
Typical High
$28,840.32
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,754.23
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$17,378.01
Typical High
$33,884.42
United
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,995.26
Typical High
$3,715.35
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,445.44
Typical High
$2,630.27