go back

South Carolina rates for HCPCS 21453

Closed Tx Mandibular Fx W/Interdental Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,235.97 / $3,655.40 / $10,032.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,717.57 / $9,578.99 / $16,900.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $890.00 / $4,769.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.00 / $1,129.75 / $1,915.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,223.00 / $23,485.00