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Washington rates for HCPCS 21461

Open treatment of mandibular fracture; without interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.36 / $5,128.00 / $22,124.20
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,185.25 / $16,227.47 / $31,745.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.20 / $1,075.31 / $9,164.29
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.84 / $2,739.21 / $6,795.91
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,815.70 / $3,483.02 / $4,109.10
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,392.88 / $2,513.96 / $7,185.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,761.59 / $16,586.25 / $31,745.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,016.00 / $16,315.00