go back

Kentucky 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
$562.34 / $1,778.28 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $616.60 / $1,096.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,801.89 / $8,511.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $371.54 / $602.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $707.95 / $912.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $707.95 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $954.99 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $794.33 / $3,467.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,754.23 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $588.84 / $1,000.00