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Arkansas rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.19 / $803.00 / $2,812.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.54 / $210.54 / $252.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.28 / $116.28 / $116.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $345.00 / $768.00