go back

New York rates for HCPCS 21451

Closed treatment of mandibular fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.98 / $4,039.00 / $10,170.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.62 / $787.67 / $1,288.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.12 / $744.45 / $1,719.43
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.02 / $2,390.00 / $10,957.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.02 / $925.02 / $1,108.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.86 / $1,048.86 / $1,048.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.27 / $1,024.52 / $2,523.65
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $681.63 / $1,656.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.83 / $1,162.30 / $1,706.12
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.32 / $714.32 / $714.32
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.77 / $917.30 / $1,618.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $1,048.86
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.45 / $1,070.33 / $2,582.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.00 / $3,961.00 / $8,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.37 / $931.69 / $2,231.90
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.06 / $766.06 / $1,766.30
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.76 / $995.48 / $1,628.58