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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
$971.37 / $1,146.00 / $4,828.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,789.49 / $10,745.13 / $20,811.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,762.04 / $3,918.94 / $9,427.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,510.94 / $3,582.85 / $7,423.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.02 / $1,727.37 / $3,114.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $7,872.00 / $11,531.00