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Hawaii rates for HCPCS 21073

Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or monitored anesthesia care)

Facilitymedian $2,884 · 10th–90th $1,000–$2,8840%50%10th$2,884Professionalmedian $380 · 10th–90th $234–$6170%10%10th90th$380$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,884.03 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $363.08 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $501.19 / $645.65
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $489.78 / $2,454.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $489.78 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,698.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $407.38 / $537.03
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $338.84 / $537.03