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Wisconsin rates for HCPCS 21445

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

Professionalmedian $977 · 10th–90th $617–$2,8180%10%10th90th$977$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $776.25 / $1,737.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,318.26 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,819.70 / $3,467.37
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,621.81 / $2,137.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,548.82 / $5,754.40
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $831.76
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,819.70 / $2,884.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,737.80 / $2,511.89
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $3,801.89 / $5,623.41
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $2,691.53
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $4,073.80 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,096.48 / $2,818.38