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Oklahoma 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
$501.19 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $354.81 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $426.58 / $575.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $489.78 / $3,235.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $426.58 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,949.84 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $316.23 / $467.74