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Oregon rates for HCPCS 21453

Closed Tx Mandibular Fx W/Interdental Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,879.89 / $2,747.00 / $13,320.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $842.00 / $842.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.39 / $2,272.96 / $2,679.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.37 / $1,634.62 / $2,301.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.14 / $1,778.74 / $2,198.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.08 / $1,689.06 / $2,928.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,671.70 / $18,246.18 / $21,922.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,268.00 / $24,231.00