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Iowa rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.00 / $3,576.15 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.91 / $386.39 / $604.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.40 / $712.88 / $1,123.74
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.34 / $490.43 / $739.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.48 / $660.50 / $3,322.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.58 / $747.99 / $2,176.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.58 / $648.92 / $996.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.44 / $711.42 / $1,011.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $4,663.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.26 / $580.96 / $1,082.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.00 / $564.70 / $926.40