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Kentucky rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.46 / $569.34 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.15 / $492.52 / $617.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $3,389.00 / $8,517.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.33 / $384.57 / $599.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.18 / $595.14 / $686.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.10 / $595.22 / $956.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.22 / $782.18 / $782.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.86 / $652.45 / $1,087.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $672.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $668.00 / $3,176.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.30 / $647.69 / $1,052.51