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Utah rates for HCPCS 21454

Open treatment of mandibular fracture with external fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.69 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.55 / $782.69 / $2,723.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.14 / $762.67 / $1,061.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.32 / $308.19 / $467.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.11 / $827.83 / $1,437.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.50 / $556.69 / $883.98