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Colorado rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.93 / $2,218.00 / $8,652.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$497.00 / $497.00 / $3,490.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.00 / $2,971.00 / $7,022.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.67 / $184.67 / $581.71
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.18 / $110.04 / $202.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.68 / $113.58 / $242.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.00 / $1,262.00 / $2,720.00