go back

Iowa rates for HCPCS 21454

Open Tx Mandibular Fx W/External Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,693.00 / $5,549.00 / $7,943.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.80 / $782.28 / $870.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.00 / $1,149.88 / $1,433.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.79 / $775.58 / $1,821.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.28 / $1,287.08 / $9,224.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.40 / $1,070.76 / $5,937.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.00 / $1,287.08 / $6,812.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.00 / $1,143.39 / $1,492.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,327.00 / $8,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.11 / $845.80 / $1,534.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.98 / $965.80 / $1,136.30