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Arizona 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
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,675.92 / $1,961.49 / $10,751.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,111.82 / $2,413.50 / $3,016.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.98 / $2,385.56 / $3,918.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,901.48 / $2,584.21 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,711.56 / $2,177.64 / $14,951.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,150.00 / $6,486.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.72 / $2,056.60 / $3,939.83