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Florida 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
$466.55 / $3,276.00 / $10,843.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.53 / $541.40 / $777.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $600.66 / $715.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.66 / $706.75 / $1,090.83
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.50 / $484.52 / $774.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.83 / $514.62 / $905.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,954.00 / $5,889.00 / $10,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.86 / $583.92 / $1,139.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.82 / $572.69 / $572.69