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Missouri rates for HCPCS 21451

Closed treatment of mandibular fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.79 / $4,908.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.41 / $713.38 / $1,264.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.03 / $707.72 / $1,103.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.28 / $910.48 / $1,484.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.04 / $968.27 / $2,672.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.82 / $1,111.86 / $5,713.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,306.00 / $3,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.54 / $867.79 / $1,374.81