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North Carolina rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.11 / $480.94 / $5,449.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.11 / $366.00 / $626.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.04 / $483.70 / $854.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.66 / $469.66 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.11 / $449.22 / $840.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.11 / $439.20 / $622.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.01 / $497.00 / $526.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $541.79 / $1,056.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,733.00 / $6,543.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.45 / $452.27 / $918.31
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,709.40 / $1,709.40
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,813.60 / $2,956.40 / $3,429.08