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Idaho rates for HCPCS 21461

Open treatment of mandibular fracture; without interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $8,622.00 / $12,885.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,644.79 / $4,644.79 / $4,657.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.58 / $2,180.27 / $4,352.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $14,097.25 / $17,807.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00