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Mississippi rates for HCPCS 21450

Closed Tx Mandibular Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.42 / $993.00 / $2,010.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.61 / $567.76 / $1,122.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.14 / $290.14 / $290.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.00 / $621.00 / $621.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.32 / $282.47 / $631.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.60 / $772.87 / $1,085.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $513.00 / $1,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.79 / $622.98 / $1,204.42