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Indiana rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.42 / $899.84 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.98 / $525.97 / $665.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,801.00 / $5,061.00 / $9,462.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.61 / $346.60 / $492.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.22 / $565.79 / $728.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.45 / $595.22 / $798.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.92 / $365.92 / $433.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.44 / $572.84 / $998.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.38 / $615.12 / $1,095.83