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Florida rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.15 / $3,276.00 / $10,843.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.84 / $525.92 / $737.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.39 / $272.70 / $494.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.49 / $663.90 / $1,036.42
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,753.00 / $2,894.00 / $6,108.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.58 / $386.28 / $615.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $405.43 / $733.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,950.00 / $5,107.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.59 / $573.70 / $1,005.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.92 / $488.92 / $488.92