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Montana 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
Professional
Modifier
Low / Median / High Price
$245.47 / $398.11 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $380.19 / $602.56
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $645.65 / $691.83
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $645.65 / $691.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $446.68 / $707.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $426.58 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $478.63 / $691.83