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Rhode Island rates for HCPCS 21454

Open Tx Mandibular Fx W/External Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.26 / $3,706.14 / $4,026.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.80 / $617.79 / $870.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.85 / $597.72 / $1,139.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.63 / $860.87 / $1,051.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,569.00 / $4,571.00 / $7,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.76 / $721.93 / $1,125.78