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Texas rates for HCPCS 21462

Open treatment of mandibular fracture; with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.77 / $3,682.00 / $12,826.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,171.46 / $7,615.33 / $14,939.63
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.00 / $2,685.53 / $4,050.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.58 / $1,560.51 / $1,560.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,897.02 / $1,897.02 / $1,897.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,930.14 / $11,500.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.42 / $1,813.51 / $3,164.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.85 / $1,835.05 / $3,207.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00