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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
$3,826.83 / $3,826.83 / $3,826.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $2,754.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.47 / $1,448.03 / $1,948.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00