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Maryland rates for HCPCS 21451

Closed treatment of mandibular fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.13 / $696.09 / $850.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.49 / $729.24 / $802.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.64 / $627.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.78 / $887.81 / $1,726.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.22 / $1,030.16 / $1,384.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.00 / $215.00 / $471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.29 / $783.81 / $1,477.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.88 / $918.36 / $1,136.03