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Minnesota rates for HCPCS 21450

Closed Tx Mandibular Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.37 / $622.16 / $4,557.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.99 / $622.16 / $942.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.05 / $1,738.32 / $3,694.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.27 / $1,448.78 / $2,078.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.30 / $2,127.29 / $5,117.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.99 / $1,644.59 / $2,560.53
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,363.00 / $1,944.85 / $4,029.51
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.22 / $1,481.01 / $2,335.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.22 / $942.92 / $1,496.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.00 / $1,223.91 / $3,575.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.00 / $1,727.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.64 / $1,120.67 / $2,219.77