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Wisconsin rates for HCPCS 21453

Closed treatment of mandibular fracture with interdental fixation

Facilitymedian $9,772 · 10th–90th $1,514–$16,9820%5%10%10th90th$9,772Professionalmedian $2,570 · 10th–90th $1,585–$3,7150%10%10th90th$2,570$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,905.46 / $6,456.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,964.78 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $3,467.37 / $5,754.40
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,548.82 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,659.59 / $13,182.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $9,332.54 / $15,848.93
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,570.40 / $3,715.35
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $11,220.18 / $16,595.87
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,090.30 / $3,715.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $12,022.64 / $15,848.93