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Texas rates for HCPCS 21451

Closed treatment of mandibular fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.26 / $3,504.00 / $12,040.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.41 / $742.90 / $1,109.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.94 / $2,145.44 / $4,574.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.00 / $762.16 / $1,227.97
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $588.88 / $588.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.86 / $1,048.86 / $1,048.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.40 / $897.54 / $1,418.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,413.24 / $11,500.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,652.96 / $5,562.00 / $6,457.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.20 / $792.61 / $1,394.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.73 / $1,029.01 / $1,344.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.79 / $554.79 / $554.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.49 / $795.14 / $1,429.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.98 / $959.37 / $1,491.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $2,064.00 / $4,509.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.29 / $783.85 / $1,236.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.44 / $715.66 / $1,013.27