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North Carolina 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
$1,615.00 / $2,895.02 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,987.57 / $2,088.63 / $3,866.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,163.34 / $2,861.94 / $5,127.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,125.82 / $2,843.24 / $5,139.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,987.57 / $2,503.56 / $3,953.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,375.00 / $2,375.00 / $2,612.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $2,642.00 / $5,521.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,306.00 / $10,968.00 / $17,964.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.90 / $2,480.84 / $4,998.63
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $18,574.96 / $18,574.96
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,663.12 / $14,663.12 / $17,323.50