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Colorado 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
$915.00 / $3,889.00 / $9,872.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.87 / $348.97 / $474.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.01 / $342.82 / $549.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.95 / $391.95 / $1,234.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.31 / $432.32 / $690.85
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.07 / $414.38 / $621.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.31 / $471.81 / $738.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,577.00 / $4,182.00 / $7,016.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.10 / $535.08 / $851.14