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Tennessee rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.98 / $579.20 / $931.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,534.00 / $2,662.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.43 / $736.41 / $1,137.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.85 / $717.01 / $1,107.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,307.80 / $3,396.96 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,481.76 / $4,259.60 / $4,961.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.51 / $640.32 / $1,171.04