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Hawaii rates for HCPCS 21454

Open treatment of mandibular fracture with external fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,861.43 / $2,747.00 / $6,084.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.34 / $559.34 / $559.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.42 / $637.96 / $765.56
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.70 / $814.22 / $3,857.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.41 / $612.44 / $714.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $1,981.00 / $1,981.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.58 / $637.96 / $835.50
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.20 / $3,619.79 / $9,324.00