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Oregon rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.87 / $2,747.00 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.91 / $389.25 / $1,017.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.91 / $629.15 / $1,038.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.29 / $661.50 / $1,008.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.05 / $568.76 / $923.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.02 / $621.46 / $932.69
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.20 / $652.65 / $767.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.05 / $571.22 / $966.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.43 / $677.04 / $982.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,539.74 / $4,494.80 / $5,709.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.94 / $692.52 / $1,047.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $5,130.00 / $7,385.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.00 / $753.35 / $1,166.54