go back

Delaware rates for HCPCS 21440

Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,736.00 / $4,736.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.85 / $591.41 / $709.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.16 / $661.16 / $661.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.10 / $583.41 / $1,039.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $1,485.00 / $1,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.60 / $560.01 / $1,425.07