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Maryland rates for HCPCS 21453

Closed treatment of mandibular fracture with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,348.96 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $851.14 / $1,548.82