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Indiana rates for HCPCS 21451

Closed treatment of mandibular fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.88 / $1,554.54 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.67 / $686.76 / $869.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.00 / $6,653.00 / $11,752.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.53 / $530.90 / $753.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.62 / $756.11 / $948.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.25 / $834.30 / $1,042.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.00 / $881.00 / $1,044.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.79 / $771.04 / $1,334.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,874.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.90 / $787.24 / $1,465.28