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Arizona rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.15 / $532.12 / $2,537.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.34 / $699.54 / $795.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.13 / $606.86 / $1,041.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.66 / $616.14 / $1,286.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.65 / $645.84 / $4,385.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.40 / $591.84 / $1,088.00