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Nebraska rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.47 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.48 / $350.47 / $1,334.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.63 / $3,041.74 / $5,883.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.02 / $451.38 / $722.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.48 / $410.48 / $410.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.70 / $741.08 / $1,164.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.30 / $450.96 / $1,693.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.35 / $782.95 / $1,796.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.58 / $648.92 / $1,011.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.96 / $732.64 / $1,010.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.35 / $782.95 / $1,013.07