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Minnesota rates for HCPCS 21454

Open treatment of mandibular fracture with external fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.93 / $495.93 / $6,781.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.93 / $517.19 / $870.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,557.46 / $9,984.76 / $20,811.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.12 / $1,371.71 / $1,789.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,210.55 / $1,717.60 / $4,131.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.89 / $1,466.95 / $2,178.65
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.50 / $1,570.30 / $3,253.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.74 / $1,311.55 / $1,997.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.21 / $881.30 / $2,758.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.58 / $1,036.80 / $2,078.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,412.00 / $4,746.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.66 / $1,036.80 / $1,941.76