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Indiana rates for HCPCS 21454

Open Tx Mandibular Fx W/External Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.18 / $2,318.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.55 / $470.77 / $622.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,641.00 / $10,700.00 / $17,513.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.85 / $621.90 / $858.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.38 / $594.59 / $686.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.38 / $548.86 / $686.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,030.01 / $5,030.01 / $5,962.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.37 / $632.00 / $1,142.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.29 / $576.54 / $1,057.42