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Arizona rates for HCPCS 21452

Percutaneous treatment of mandibular fracture, with external fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $2,897.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.48 / $579.87 / $2,296.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,211.19 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.90 / $688.68 / $953.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.52 / $638.49 / $1,117.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.52 / $677.49 / $2,086.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.36 / $744.44 / $5,506.44
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
$519.04 / $643.84 / $1,331.54