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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
$933.25 / $4,073.80 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $724.44 / $1,258.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $8,317.64 / $10,964.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $537.03 / $870.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $630.96 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $794.33 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,715.35 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $707.95 / $1,288.25