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Kansas rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.00 / $4,919.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.79 / $592.91 / $941.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.02 / $355.87 / $598.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.42 / $604.04 / $741.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.67 / $714.98 / $1,186.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.85 / $705.46 / $1,643.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.95 / $734.06 / $4,385.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.76 / $662.84 / $1,022.26