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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.29 / $332.51 / $380.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.23 / $300.23 / $300.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.68 / $354.05 / $679.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,132.00 / $6,132.00 / $6,132.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.00 / $1,320.00 / $1,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.42 / $383.36 / $866.35