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Georgia rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Facilitymedian $2,512 · 10th–90th $148–$7,0790%5%10th90th$2,512Professionalmedian $174 · 10th–90th $35–$2820%10%10th90th$174$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $3,019.95 / $7,413.10
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$288.40 / $288.40 / $309.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,089.30 / $3,981.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $173.78 / $281.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $1,318.26 / $2,344.23