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Alaska rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.96 / $10,175.36 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.72 / $2,246.10 / $2,725.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.84 / $1,466.34 / $2,583.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.02 / $2,246.10 / $3,815.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.53 / $1,718.58 / $3,453.45
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,806.25 / $2,567.94 / $3,408.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.78 / $2,316.62 / $3,815.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.13 / $2,514.75 / $3,516.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.38 / $2,482.17 / $3,120.44