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Florida rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.25 / $2,948.00 / $10,632.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.05 / $313.95 / $443.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.99 / $273.31 / $324.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.84 / $390.70 / $671.83
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.00 / $4,823.00 / $9,635.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.41 / $332.26 / $430.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.64 / $272.22 / $469.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.00 / $3,611.00 / $8,105.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.87 / $385.06 / $703.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.50 / $338.73 / $338.73