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Alaska rates for HCPCS 21315

Closed treatment of nasal bone fracture with manipulation; without stabilization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.75 / $4,995.14 / $10,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.82 / $297.39 / $693.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.08 / $486.28 / $838.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.43 / $327.14 / $970.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.61 / $370.60 / $833.40
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.35 / $671.35 / $1,517.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.43 / $388.24 / $970.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.75 / $789.25 / $1,594.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.50 / $1,173.66 / $1,475.45