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Maryland rates for HCPCS 21465

Open Treatment Mandibular Condylar Fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.55 / $816.03 / $1,011.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.57 / $846.57 / $1,040.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $641.21 / $3,516.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.63 / $1,146.81 / $2,062.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.36 / $1,080.19 / $1,415.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.81 / $933.66 / $1,717.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.36 / $962.96 / $1,200.11