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Hawaii rates for HCPCS 21462

Open treatment of mandibular fracture; with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,861.43 / $2,747.00 / $6,084.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.56 / $2,195.56 / $2,589.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00