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North Carolina rates for HCPCS 21453

Closed treatment of mandibular fracture with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.04 / $1,370.71 / $7,845.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,474.86 / $3,474.86 / $3,525.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $5,006.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.00 / $1,074.69 / $1,826.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,301.38 / $6,301.38 / $26,542.00