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Arizona rates for HCPCS 21073

Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or monitored anesthesia care)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.42 / $341.47 / $1,334.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,651.20 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.89 / $379.68 / $544.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.92 / $380.58 / $638.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.85 / $405.82 / $2,056.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.60 / $425.88 / $2,837.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.00 / $2,567.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.14 / $393.12 / $722.69