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Idaho rates for HCPCS 21462

Open treatment of mandibular fracture; with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,927.00 / $4,500.00 / $8,439.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,446.87 / $4,446.87 / $4,459.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,102.34 / $2,434.54 / $4,730.59
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