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Virginia rates for HCPCS 21454

Open treatment of mandibular fracture with external fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.51 / $5,048.00 / $10,637.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.93 / $610.95 / $727.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.07 / $578.10 / $955.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.66 / $563.40 / $15,406.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.83 / $559.83 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.83 / $683.47 / $1,117.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.05 / $611.90 / $711.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.48 / $717.81 / $1,122.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.00 / $795.25 / $1,071.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.15 / $687.63 / $2,221.34
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.15 / $687.63 / $2,221.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.69 / $618.59 / $978.78