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Oregon rates for HCPCS 21453

Closed treatment of mandibular fracture with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,511.89 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,238.72 / $2,818.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,445.44 / $2,290.87
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,778.28 / $2,187.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,412.54 / $2,238.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $18,620.87 / $22,387.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $17,782.79 / $25,703.96