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Virginia 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
$2,300.44 / $5,412.00 / $11,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.03 / $2,189.23 / $2,699.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,685.00 / $17,371.00 / $24,194.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.49 / $2,396.91 / $3,962.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,394.80 / $2,394.80 / $7,889.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $2,293.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,922.77 / $2,520.12 / $4,500.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,934.89 / $2,476.66 / $2,906.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,103.40 / $2,629.54 / $3,824.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,375.00 / $2,806.00 / $3,819.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,875.92 / $2,555.03 / $6,585.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.92 / $2,555.03 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,398.00 / $10,000.00 / $21,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,580.96 / $2,322.00 / $3,896.74