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California rates for HCPCS 21465

Open treatment of mandibular condylar fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.00 / $7,648.00 / $18,309.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.06 / $879.65 / $4,462.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,776.00 / $8,592.00 / $17,774.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.49 / $1,275.24 / $2,405.69
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $10,377.87
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.11 / $1,024.82 / $2,250.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,813.00 / $7,314.49 / $13,100.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.00 / $1,119.02 / $2,387.67
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.96 / $942.08 / $1,271.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.41 / $1,058.98 / $1,890.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,484.39 / $21,125.75 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,584.09 / $8,584.09 / $8,584.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.65 / $1,117.96 / $1,618.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.00 / $1,150.44 / $2,263.41
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,769.14 / $2,769.14 / $2,769.14
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.74 / $856.22 / $1,046.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,142.00 / $12,313.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.72 / $916.06 / $1,887.06