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Kentucky 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
$200.99 / $400.00 / $3,740.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.77 / $306.17 / $386.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $3,498.00 / $8,517.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.66 / $229.24 / $335.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.30 / $316.88 / $365.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.97 / $321.80 / $557.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.47 / $416.47 / $416.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.32 / $410.02 / $706.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $140.47 / $398.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $1,450.00 / $5,301.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.64 / $444.92 / $698.73