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Idaho rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.76 / $822.50 / $1,228.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.78 / $327.78 / $328.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.00 / $811.46 / $1,018.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.26 / $937.11 / $1,351.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.23 / $945.22 / $1,145.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $815.28 / $1,025.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.58 / $1,243.46 / $1,667.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.93 / $1,003.88 / $1,227.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.71 / $854.88 / $1,232.84