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Texas 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
$537.03 / $2,454.71 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $363.08 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $398.11 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $371.54 / $524.81
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $218.78 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $426.58 / $724.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $1,698.24
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,467.37 / $3,467.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $489.78 / $2,951.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $371.54 / $758.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $194.98 / $346.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $741.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $416.87 / $741.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $426.58 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,511.89 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $338.84 / $537.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $436.52 / $436.52