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Nebraska 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
$870.96 / $3,801.89 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $389.05 / $1,318.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,019.95 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $446.68 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $707.95 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $457.09 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $707.95 / $1,778.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $1,096.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,162.28 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $524.81 / $891.25