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North Carolina rates for HCPCS 21454

Open treatment of mandibular fracture with external fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.45 / $1,410.00 / $12,615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.45 / $502.76 / $965.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.01 / $1,012.63 / $1,458.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.10 / $852.10 / $6,441.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.85 / $725.09 / $1,356.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.45 / $683.02 / $1,125.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.00 / $722.00 / $852.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $650.00 / $1,584.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,661.00 / $7,659.00 / $10,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.84 / $698.87 / $1,371.72
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,758.44 / $21,288.50 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,937.38 / $5,937.38 / $5,937.38