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Idaho rates for HCPCS 21454

Open treatment of mandibular fracture with external fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.38 / $782.69 / $1,010.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,505.79 / $4,505.79 / $4,518.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.00 / $782.20 / $943.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.82 / $959.74 / $1,293.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.24 / $876.26 / $1,159.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $793.91 / $884.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $14,097.25 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.36 / $980.42 / $1,159.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.90 / $805.74 / $1,202.34