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New York rates for HCPCS 21454

Open treatment of mandibular fracture with external fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.98 / $5,157.00 / $11,396.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.65 / $575.79 / $948.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.99 / $594.25 / $1,340.79
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.73 / $2,644.00 / $12,319.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.73 / $694.73 / $694.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.83 / $559.83 / $559.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.39 / $849.46 / $1,890.73
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $699.00 / $1,278.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.33 / $749.02 / $1,096.95
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.15 / $469.15 / $469.15
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.61 / $529.99 / $1,040.89
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $559.83 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.00 / $798.37 / $1,847.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.40 / $634.45 / $1,514.15
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.07 / $590.07 / $2,378.88
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.22 / $653.79 / $1,247.31