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Kansas 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
$1,700.00 / $4,919.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.87 / $688.39 / $1,091.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.66 / $674.89 / $847.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.15 / $756.28 / $1,218.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.87 / $838.50 / $2,046.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.05 / $776.51 / $5,632.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.00 / $3,096.00 / $5,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.23 / $719.83 / $1,070.35