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Maryland rates for HCPCS 21462

Open treatment of mandibular fracture; with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,014.60 / $7,172.93 / $14,848.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $728.96 / $3,497.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,994.36 / $2,591.76 / $3,834.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00