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Tennessee 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
$1,806.22 / $3,928.82 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.11 / $2,088.63 / $3,256.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,830.00 / $5,434.00 / $9,272.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,894.67 / $2,585.73 / $4,104.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,114.13 / $2,789.81 / $4,279.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $18,574.96 / $18,941.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,663.12 / $14,951.28 / $17,323.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,604.00 / $5,898.00 / $11,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,742.38 / $2,350.94 / $4,445.87