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Minnesota rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.56 / $389.25 / $2,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.56 / $386.39 / $598.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.19 / $2,798.21 / $5,511.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.65 / $820.44 / $1,343.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.16 / $1,358.07 / $3,267.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.72 / $962.37 / $1,730.08
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.85 / $1,241.59 / $2,572.46
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.53 / $889.73 / $1,604.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.60 / $573.59 / $1,147.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.51 / $782.98 / $1,796.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.00 / $3,500.00 / $6,361.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.69 / $762.34 / $1,477.22