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New York rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.37 / $2,660.00 / $7,521.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.50 / $375.75 / $628.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.44 / $385.39 / $869.35
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.51 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.51 / $349.51 / $534.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.47 / $416.47 / $14,648.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.47 / $476.67 / $1,166.20
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.00 / $302.61 / $638.01
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.48 / $635.67 / $906.10
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.81 / $379.81 / $379.81
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.85 / $455.93 / $804.27
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,134.62 / $2,134.62 / $2,134.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.47 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.70 / $506.94 / $1,198.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.00 / $3,961.00 / $8,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.96 / $479.23 / $1,176.42
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.50 / $288.50 / $732.55
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.85 / $510.11 / $804.27