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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
$1,593.10 / $1,902.58 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.81 / $1,060.97 / $1,598.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.18 / $789.18 / $791.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.23 / $1,083.29 / $1,326.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.63 / $1,157.23 / $1,758.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.01 / $1,232.34 / $1,514.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,065.10 / $1,339.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,749.17 / $3,749.50 / $4,629.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.85 / $1,308.54 / $1,594.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,450.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.75 / $1,120.59 / $1,594.70