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Tennessee 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
$452.00 / $2,011.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.62 / $336.05 / $556.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,138.00 / $2,838.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.37 / $424.49 / $691.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.89 / $427.68 / $717.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,709.40 / $1,709.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.56 / $2,837.60 / $3,429.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $2,297.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.99 / $421.69 / $775.22