Closed treatment of temporomandibular dislocation; initial or subsequent
Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.
Insurance Carrier
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $2,187.76 / $7,943.28
Facility
$79.43
$2,187.76
$7,943.28
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$288.40 / $851.14 / $2,570.40
Facility
50
$288.40
$851.14
$2,570.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $3,630.78 / $9,120.11
Facility
$1,445.44
$3,630.78
$9,120.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $380.19 / $1,288.25
Facility
$50.12
$380.19
$1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $1,000.00 / $3,311.31
Facility
$208.93
$1,000.00
$3,311.31
See more rates by state
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