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Montana rates for HCPCS 21454

Open treatment of mandibular fracture with external fixation

Facilitymedian $851 · 10th–90th $692–$1,1220%20%40%10th90th$851Professionalmedian $776 · 10th–90th $457–$1,7780%10%10th90th$776$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $691.83 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $660.69 / $954.99
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $851.14 / $1,122.02
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $851.14 / $1,122.02
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $776.25 / $1,148.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $691.83 / $1,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $870.96 / $1,122.02