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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
$682.00 / $3,683.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.45 / $306.17 / $388.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.15 / $441.15 / $441.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.42 / $391.86 / $578.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.45 / $408.37 / $2,951.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.10 / $422.69 / $2,837.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,990.00 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.27 / $394.10 / $547.41