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Delaware rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,736.00 / $4,736.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.95 / $528.84 / $610.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.56 / $299.56 / $299.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.49 / $517.13 / $1,090.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.00 / $143.00 / $143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.81 / $487.33 / $809.08