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Washington, DC 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
$398.11 / $2,754.23 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $346.74 / $676.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $380.19 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $512.86 / $933.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $549.54 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $6,606.93 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $436.52 / $891.25