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Utah rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.50 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.13 / $356.50 / $1,334.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.48 / $424.22 / $700.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.37 / $231.22 / $341.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,237.82 / $2,891.57 / $4,213.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.97 / $553.61 / $943.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.82 / $393.12 / $644.28