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Alaska rates for HCPCS 21465

Open Treatment Mandibular Condylar Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,364.23 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.55 / $4,009.83 / $4,009.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,034.85 / $2,836.99 / $3,419.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.04 / $4,009.83 / $5,613.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,977.18 / $2,372.61 / $4,816.64
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,056.25 / $4,093.25 / $5,392.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.04 / $4,009.83 / $5,613.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.83 / $3,915.45 / $5,889.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.24 / $3,971.77 / $4,993.08