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Arizona rates for HCPCS 21454

Open Tx Mandibular Fx W/External Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.93 / $501.68 / $2,723.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.35 / $3,555.20 / $5,814.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.32 / $593.51 / $741.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.26 / $625.97 / $1,018.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.82 / $649.12 / $3,790.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.47 / $587.52 / $5,937.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.55 / $558.40 / $994.81