go back

Alaska rates for HCPCS 21436

Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $10,000.00 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,570.40 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $6,760.83 / $8,709.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,019.95 / $13,803.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $6,760.83 / $10,232.93
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $8,317.64 / $11,748.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,951.21 / $10,964.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $2,818.38 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $9,332.54 / $12,022.64