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Delaware rates for HCPCS 21454

Open treatment of mandibular fracture with external fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,316.00 / $6,316.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.22 / $484.65 / $484.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,117.87 / $4,117.87 / $4,117.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.38 / $606.79 / $1,039.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $1,485.00 / $1,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.82 / $571.42 / $995.93