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New York rates for HCPCS 21453

Closed treatment of mandibular fracture with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.00 / $3,414.00 / $10,024.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.90 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,490.09 / $1,490.09 / $1,490.09
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $978.43 / $2,389.01
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.13 / $998.13 / $998.13
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,492.91 / $3,492.91 / $4,299.35
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $1,490.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,963.00 / $14,457.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.75 / $1,108.75 / $2,155.96