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Alaska rates for HCPCS 21453

Closed treatment of mandibular fracture with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,958.40 / $10,175.36 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.61 / $4,312.89 / $7,024.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.78 / $4,312.89 / $7,024.56