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Louisiana 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
$467.74 / $1,288.25 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $371.54 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,137.96 / $3,090.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $398.11 / $602.56
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $426.58 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,479.11 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $354.81 / $588.84