go back

Idaho rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.83 / $504.24 / $772.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.52 / $328.52 / $329.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.87 / $438.11 / $653.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.23 / $515.73 / $850.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.22 / $652.08 / $793.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $566.42 / $639.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,749.17 / $3,789.62 / $4,803.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.47 / $572.45 / $776.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,450.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.96 / $582.04 / $854.88