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California 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
$1,659.59 / $6,025.60 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $380.19 / $1,412.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,466.84 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $354.81 / $758.58
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $1,122.02 / $5,754.40
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $338.84 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $407.38 / $776.25
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $331.13 / $660.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $436.52 / $831.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $1,698.24
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,467.37 / $3,467.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $537.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $426.58 / $724.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $426.58 / $812.83
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,288.25
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $389.05 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,265.80 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $338.84 / $676.08