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Colorado rates for HCPCS 21453

Closed treatment of mandibular fracture with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,393.30 / $5,079.00 / $10,651.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,178.55 / $4,178.55 / $13,162.66
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.29 / $1,121.68 / $1,705.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.96 / $1,458.81 / $2,077.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,251.00 / $11,924.00 / $19,712.00