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North Carolina rates for HCPCS 21461

Open treatment of mandibular fracture; without interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.33 / $1,801.31 / $10,561.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,474.86 / $3,474.86 / $3,525.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.70 / $748.70 / $6,640.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.00 / $1,801.31 / $3,036.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,136.34 / $7,136.34 / $26,542.00