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Indiana rates for HCPCS 21465

Open treatment of mandibular condylar fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.82 / $2,318.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.57 / $769.66 / $1,017.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,641.00 / $8,512.00 / $16,307.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.74 / $984.00 / $1,357.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.37 / $1,042.27 / $1,563.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.48 / $930.60 / $1,340.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,991.56 / $4,991.56 / $5,917.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.00 / $1,059.53 / $1,899.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.08 / $956.79 / $1,716.84