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Wisconsin rates for HCPCS 21461

Open treatment of mandibular fracture; without interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,137.96 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,754.40 / $9,332.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,089.30 / $5,754.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,137.96 / $13,182.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $3,388.44 / $5,888.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $14,791.08 / $21,877.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,218.10