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Hawaii rates for HCPCS 21465

Open treatment of mandibular condylar fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $912.01 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,023.29 / $1,122.02
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $3,311.31 / $5,623.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $891.25 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,023.29 / $1,348.96
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $4,073.80 / $7,943.28