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Utah rates for HCPCS 21451

Closed treatment of mandibular fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.65 / $3,294.00 / $7,679.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.60 / $874.65 / $3,406.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.45 / $959.29 / $1,429.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.31 / $434.52 / $731.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,237.82 / $2,891.57 / $4,213.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.71 / $1,120.56 / $1,888.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.50 / $805.64 / $1,300.33