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Vermont rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.02 / $305.60 / $472.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.45 / $513.08 / $871.60
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.14 / $532.28 / $871.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.03 / $547.44 / $1,591.45