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Tennessee rates for HCPCS 21451

Closed treatment of mandibular fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.67 / $771.75 / $1,208.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.00 / $2,291.00 / $3,777.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.28 / $953.58 / $1,493.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.50 / $956.76 / $1,454.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,413.24 / $4,527.47 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,652.96 / $5,562.00 / $6,457.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $2,297.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.17 / $816.62 / $1,498.86