go back

Hawaii rates for HCPCS 21452

Percutaneous treatment of mandibular fracture, with external fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.88 / $2,747.00 / $3,883.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.74 / $342.74 / $625.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.41 / $976.35 / $1,171.61
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.29 / $720.24 / $1,002.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.80 / $827.94 / $976.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $1,689.00 / $1,689.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.73 / $976.35 / $1,221.86
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.32 / $1,958.52 / $5,287.00