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Delaware rates for HCPCS 21453

Closed Tx Mandibular Fx W/Interdental Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,461.59 / $2,897.16 / $38,542.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,200.76 / $3,200.76 / $3,200.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,840.78 / $6,840.78 / $6,840.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00