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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
$776.25 / $4,265.80 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $549.54 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $275.42 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $660.69 / $1,096.48
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,884.03 / $6,309.57
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $407.38 / $588.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,584.89 / $4,168.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $524.81 / $954.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $489.78 / $616.60