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Georgia rates for HCPCS 21453

Closed treatment of mandibular fracture with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,134.21 / $4,592.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.78 / $3,640.00 / $8,545.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.71 / $1,109.71 / $1,109.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,490.09 / $4,013.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.88 / $1,430.10 / $2,597.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00