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Tennessee rates for HCPCS 21454

Open treatment of mandibular fracture with external fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.00 / $2,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.77 / $539.23 / $782.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,830.00 / $5,467.00 / $9,419.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.95 / $715.93 / $1,099.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.46 / $734.68 / $1,100.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,758.44 / $21,288.50 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,937.38 / $5,937.38 / $5,937.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,626.00 / $6,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.86 / $619.48 / $1,107.11