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Virginia 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
$593.84 / $732.66 / $1,015.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.45 / $741.98 / $1,226.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.33 / $730.33 / $7,889.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.13 / $884.31 / $1,576.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.55 / $949.55 / $1,122.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.00 / $1,071.00 / $1,480.75
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.24 / $981.14 / $3,366.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.94 / $881.20 / $1,518.33