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Idaho rates for HCPCS 21465

Open Treatment Mandibular Condylar Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.92 / $1,347.74 / $1,658.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,471.35 / $4,471.35 / $4,483.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.26 / $1,275.42 / $1,551.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.23 / $1,593.07 / $2,029.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.94 / $1,423.57 / $1,896.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,145.35 / $1,293.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $14,097.25 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.69 / $1,594.93 / $1,896.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.80 / $1,301.40 / $2,037.04