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Indiana rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.83 / $543.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.42 / $314.94 / $387.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.00 / $5,757.57 / $8,388.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.70 / $315.72 / $449.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.87 / $317.38 / $476.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.55 / $461.94 / $665.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.74 / $366.74 / $434.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.62 / $373.11 / $587.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,874.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.37 / $402.95 / $764.09