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Utah rates for HCPCS 21452

Percutaneous treatment of mandibular fracture, with external fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $3,388.44 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $724.44 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $691.83 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $660.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $10,000.00 / $22,387.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $912.01 / $1,412.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $851.14 / $1,318.26
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,023.29 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $562.34 / $954.99