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Rhode Island rates for HCPCS 21451

Closed treatment of mandibular fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,993.72 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.80 / $830.65 / $1,251.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.92 / $785.54 / $1,490.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.49 / $1,152.29 / $1,557.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,812.00 / $4,049.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.00 / $945.77 / $1,675.32