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Maryland rates for HCPCS 21454

Open treatment of mandibular fracture with external fixation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.63 / $503.61 / $613.51
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.66 / $521.66 / $655.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $728.96 / $3,543.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.93 / $703.13 / $1,264.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.28 / $666.00 / $876.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $520.00 / $733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.65 / $593.54 / $1,046.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.28 / $593.72 / $738.99