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Texas rates for HCPCS 21461

Open treatment of mandibular fracture; without interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.00 / $3,511.00 / $12,281.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,122.95 / $7,372.81 / $14,745.61
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.80 / $6,190.48 / $12,453.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $939.55 / $939.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.12 / $1,703.12 / $1,703.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,136.34 / $11,500.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.42 / $1,618.39 / $2,904.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.08 / $1,637.40 / $2,955.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00