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Arkansas rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.44 / $975.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.59 / $346.01 / $488.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.79 / $1,411.79 / $1,694.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.85 / $376.25 / $530.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.90 / $768.90 / $768.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $449.16 / $640.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,230.00 / $2,539.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.87 / $432.89 / $699.95