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Hawaii rates for HCPCS 21445

Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.55 / $630.55 / $769.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.14 / $1,020.95 / $1,225.14
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.47 / $1,232.32 / $1,417.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.41 / $898.44 / $1,020.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.96 / $1,016.47 / $1,311.84
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.33 / $3,098.10 / $8,000.00