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Maryland rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $562.34 / $1,348.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $549.54 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $676.08 / $1,318.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $724.44 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $40.74 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $575.44 / $1,122.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $724.44 / $977.24