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Alaska rates for HCPCS 21451

Closed treatment of mandibular fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,110.37 / $9,577.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.13 / $3,029.63 / $3,579.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,550.89 / $1,994.64 / $3,353.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.13 / $3,029.63 / $5,010.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.10 / $2,240.64 / $4,502.55
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,370.50 / $3,400.11 / $4,510.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.66 / $3,042.39 / $5,010.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.88 / $3,339.25 / $4,748.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.77 / $3,220.41 / $4,133.71