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Iowa rates for HCPCS 21453

Closed treatment of mandibular fracture with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,468.00 / $4,964.00 / $8,042.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.83 / $1,314.16 / $2,635.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.78 / $2,126.51 / $8,572.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.39 / $2,197.54 / $5,842.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,060.00 / $11,869.99