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Tennessee rates for HCPCS 21462

Open treatment of mandibular fracture; with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,493.42 / $3,478.00 / $6,681.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,830.00 / $5,500.00 / $9,283.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,930.14 / $8,175.54 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00