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Alaska rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.34 / $5,084.91 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.36 / $173.27 / $893.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.51 / $187.99 / $893.61