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Idaho rates for HCPCS 21480

Closed Tx Temporomandibular Dislocation 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.78 / $154.78 / $155.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.62 / $122.70 / $300.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.97 / $563.48 / $714.51
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$457.07 / $845.22 / $1,114.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00