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Iowa rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.47 / $2,546.00 / $6,446.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.64 / $153.84 / $312.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.04 / $206.64 / $616.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.16 / $214.12 / $344.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $1,775.00 / $3,560.25