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Iowa rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,496.00 / $4,964.00 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $754.11 / $943.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.00 / $1,288.94 / $1,598.52
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.10 / $774.41 / $1,793.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.08 / $1,142.84 / $1,619.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.51 / $1,182.67 / $3,575.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.93 / $1,070.83 / $1,512.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.00 / $1,214.66 / $1,598.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.00 / $1,640.00 / $2,126.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.26 / $872.02 / $1,624.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.84 / $1,091.00 / $1,337.10