go back

Maryland rates for HCPCS 21440

Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.04 / $216.04 / $216.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.20 / $599.34 / $750.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.05 / $636.38 / $777.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $568.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.55 / $764.58 / $1,586.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.00 / $1,004.08 / $1,281.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $520.00 / $733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.86 / $667.50 / $1,189.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.75 / $895.11 / $1,104.29