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Missouri rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.91 / $3,907.00 / $7,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.98 / $533.82 / $839.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.60 / $507.19 / $813.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.57 / $685.05 / $1,104.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.91 / $714.53 / $1,468.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.17 / $862.19 / $4,385.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.40 / $740.67 / $1,241.03