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Florida rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.04 / $1,737.00 / $8,988.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$44.81 / $704.31 / $774.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.73 / $128.77 / $323.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,403.00 / $4,241.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.00 / $1,986.00 / $5,259.00