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Wyoming 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
Professional
Modifier
Low / Median / High Price
$249.59 / $318.83 / $504.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,304.00 / $1,304.00 / $1,304.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.00 / $696.00 / $1,106.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.54 / $554.20 / $1,017.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.09 / $760.61 / $1,245.39