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Georgia rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.20 / $4,592.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $594.12 / $1,130.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.79 / $2,260.19 / $3,862.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.69 / $661.72 / $1,214.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.61 / $703.61 / $703.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.64 / $782.18 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.86 / $780.82 / $1,363.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.45 / $773.24 / $1,420.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $1,550.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.21 / $717.18 / $1,311.27