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West Virginia rates for HCPCS 21451

Closed treatment of mandibular fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.89 / $913.65 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.89 / $730.42 / $1,251.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.62 / $654.12 / $770.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.01 / $685.24 / $685.24
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
$628.28 / $856.54 / $2,190.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.82 / $771.04 / $1,129.89