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Rhode Island rates for HCPCS 21450

Closed Tx Mandibular Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,424.15 / $3,243.94 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.72 / $629.38 / $943.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.38 / $603.13 / $1,193.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.35 / $879.49 / $1,189.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.67 / $824.68 / $1,353.64