go back

North Carolina rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.66 / $769.65 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.66 / $582.53 / $959.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.15 / $768.17 / $1,454.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.61 / $468.61 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.02 / $710.49 / $1,317.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.00 / $625.20 / $1,070.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.00 / $772.00 / $772.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $788.20 / $1,673.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.29 / $664.51 / $1,376.26
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,307.80 / $3,307.80 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,481.76 / $4,259.60 / $4,961.55