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Idaho rates for HCPCS 21452

Percutaneous treatment of mandibular fracture, with external fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.41 / $961.17 / $1,550.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,484.93 / $4,484.93 / $4,497.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.83 / $802.35 / $1,291.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.95 / $961.17 / $1,627.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.65 / $1,094.93 / $1,387.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $982.19 / $1,235.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,662.17 / $14,097.25 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.40 / $1,086.45 / $1,575.90
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
$656.26 / $956.65 / $1,358.77