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Arizona rates for HCPCS 21465

Open Treatment Mandibular Condylar Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,182.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.94 / $812.52 / $1,828.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,126.40 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.47 / $963.97 / $1,204.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.85 / $1,026.26 / $1,680.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.78 / $1,055.25 / $7,167.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.35 / $970.56 / $8,584.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.88 / $916.02 / $1,594.95