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New York 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 / $4,677.35 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,290.87 / $5,370.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $7,762.47 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,137.96 / $5,128.61
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $37,153.52
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $3,467.37 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,019.95 / $8,709.64
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,238.72 / $6,918.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,884.03 / $4,168.69
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,630.27 / $4,265.80
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $2,691.53 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,888.44 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,454.71 / $6,165.95
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,398.83 / $8,128.31
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,511.89 / $5,754.40