go back

Washington, DC rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.35 / $3,999.00 / $6,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.69 / $517.69 / $641.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.00 / $549.71 / $2,298.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.60 / $833.00 / $1,741.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.58 / $1,394.74 / $1,394.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.66 / $1,249.59 / $1,688.65