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Minnesota rates for HCPCS 21453

Closed treatment of mandibular fracture with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,148.15 / $8,912.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $11,748.98 / $26,915.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $4,168.69 / $9,772.37
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,981.07 / $7,762.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,737.80 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $7,943.28 / $12,589.25