| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.25 | $885.00 | $1,768.00 | |
BCBS
| Facility | $148.28 | $179.50 | $241.49 | |
BCBS
| Facility | 50 | $222.42 | $269.26 | $362.24 |
United
| Facility | $250.00 | $896.00 | $1,670.00 |
Closed treatment of temporomandibular dislocation; initial or subsequent
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.25 | $885.00 | $1,768.00 | |
BCBS
| Facility | $148.28 | $179.50 | $241.49 | |
BCBS
| Facility | 50 | $222.42 | $269.26 | $362.24 |
United
| Facility | $250.00 | $896.00 | $1,670.00 |