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Utah rates for HCPCS 21465

Open Treatment Mandibular Condylar Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.74 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.57 / $1,347.74 / $4,462.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.98 / $1,265.08 / $1,733.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $481.34 / $748.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.32 / $1,353.11 / $2,350.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.00 / $950.98 / $1,464.37