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Alaska rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.79 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.72 / $1,192.21 / $1,772.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.90 / $898.74 / $1,629.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.83 / $1,311.43 / $2,480.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.88 / $1,190.67 / $2,392.65
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.00 / $1,454.00 / $2,206.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.83 / $1,311.43 / $2,480.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.54 / $1,396.50 / $2,150.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.12 / $1,455.98 / $2,123.26