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Delaware rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,140.00 / $3,140.00 / $6,907.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.44 / $141.44 / $141.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.57 / $179.57 / $179.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.00 / $143.00 / $500.00