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Iowa rates for HCPCS 21465

Open Treatment Mandibular Condylar Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,146.00 / $5,091.00 / $7,120.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.80 / $1,278.53 / $1,414.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,681.00 / $1,875.95 / $2,319.77
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.42 / $1,166.60 / $3,007.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.53 / $2,102.10 / $11,869.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.80 / $1,779.46 / $8,584.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,501.53 / $2,061.98 / $6,704.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.00 / $1,867.26 / $2,439.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,060.00 / $11,869.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.40 / $1,284.98 / $2,440.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.58 / $1,569.10 / $1,846.00