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Texas rates for HCPCS 21453

Closed treatment of mandibular fracture with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.00 / $3,174.00 / $11,453.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,122.95 / $7,372.81 / $14,745.61
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.12 / $5,689.21 / $8,100.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $860.42 / $860.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,490.09 / $1,490.09 / $1,490.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,301.38 / $11,500.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.22 / $1,048.73 / $1,731.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.80 / $1,057.08 / $1,802.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00