go back

North Carolina rates for HCPCS 21462

Open treatment of mandibular fracture; with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,156.48 / $3,509.17 / $11,525.00
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
$852.10 / $852.10 / $6,357.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$984.00 / $1,972.19 / $3,259.60
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
$7,930.14 / $7,930.14 / $26,542.00