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North Carolina rates for HCPCS 21451

Closed treatment of mandibular fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,089.30 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $776.25 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,096.48 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $891.25 / $1,659.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,819.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $851.14 / $1,348.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,412.54 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,467.37 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $741.31 / $1,412.54
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $33,884.42
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $6,456.54