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West Virginia rates for HCPCS 21450

Closed Tx Mandibular Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.65 / $679.92 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.65 / $553.30 / $943.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.79 / $487.80 / $573.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.63 / $509.94 / $509.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.18 / $782.18 / $782.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.20 / $637.42 / $1,649.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.70 / $613.82 / $904.60