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Rhode Island rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.62 / $381.74 / $604.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.56 / $416.77 / $673.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.67 / $504.62 / $788.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,812.00 / $4,049.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.35 / $553.03 / $846.34