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Alaska rates for HCPCS 21440

Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,844.10 / $10,175.36 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.07 / $2,542.14 / $3,127.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.42 / $1,561.71 / $3,006.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.07 / $2,542.14 / $4,378.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.18 / $2,176.59 / $4,373.85
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,972.30 / $2,915.50 / $3,646.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.37 / $2,658.52 / $4,378.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.92 / $2,689.50 / $3,569.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.10 / $2,308.44 / $3,366.40