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Arizona rates for HCPCS 21451

Closed treatment of mandibular fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.78 / $694.13 / $3,406.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,126.40 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.92 / $911.90 / $1,037.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.17 / $812.03 / $1,378.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.01 / $803.73 / $2,086.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.17 / $846.47 / $5,713.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.00 / $2,567.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.29 / $732.70 / $1,409.55