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Idaho rates for HCPCS 21451

Closed treatment of mandibular fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,388.44 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $870.96 / $1,479.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,737.80 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,288.25 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $977.24 / $1,288.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,071.52 / $1,905.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,318.26 / $1,584.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $3,467.37 / $4,786.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,288.25 / $1,621.81
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,148.15 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $3,467.37 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,000.00 / $1,445.44