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Utah rates for HCPCS 21450

Closed Tx Mandibular Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.48 / $3,294.00 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.42 / $660.48 / $2,537.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.62 / $704.02 / $1,077.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.37 / $339.63 / $543.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.38 / $1,043.22 / $1,520.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.82 / $927.11 / $1,456.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.19 / $591.84 / $969.96