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Alabama rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.25 / $885.00 / $1,768.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.28 / $179.50 / $241.49
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$222.42 / $269.26 / $362.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $896.00 / $1,670.00