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Maryland 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
$593.14 / $713.05 / $850.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.48 / $730.33 / $803.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.57 / $885.72 / $1,745.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.69 / $1,030.45 / $1,402.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.94 / $835.31 / $1,518.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.74 / $918.62 / $1,136.70