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Indiana 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
$518.29 / $911.79 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.93 / $564.48 / $847.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.00 / $5,757.57 / $8,388.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.76 / $524.91 / $724.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.52 / $701.38 / $934.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.53 / $807.04 / $1,008.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.61 / $807.61 / $957.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.71 / $613.61 / $1,022.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.48 / $617.87 / $1,145.34