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Georgia 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
$549.54 / $3,630.78 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $371.54 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,570.40 / $4,786.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $398.11 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $457.09 / $812.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $478.63 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,951.21 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $407.38 / $741.31