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Virginia 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
$285.49 / $3,226.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.87 / $346.01 / $430.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.57 / $283.35 / $468.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.77 / $299.33 / $2,635.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.47 / $416.47 / $416.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.76 / $408.78 / $701.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.88 / $503.53 / $595.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.49 / $430.90 / $640.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.00 / $536.00 / $707.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.11 / $317.23 / $1,291.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.14 / $484.44 / $1,655.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.00 / $2,863.00 / $5,340.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.49 / $461.10 / $719.54