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Virginia rates for HCPCS 21462

Open treatment of mandibular fracture; with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,158.06 / $5,412.00 / $11,425.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $1,897.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,855.76 / $2,401.58 / $2,838.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.58 / $2,075.58 / $3,452.90
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$928.80 / $1,410.99 / $4,832.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,423.00 / $11,475.00 / $21,639.00